Individual
SUZANNE WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2050 W COUNTY HIGHWAY 30A STE M1-210, SANTA ROSA BEACH, FL 32459-0187
(954) 632-2835
Mailing address
937 BAY GROVE RD, FREEPORT, FL 32439-4837
(954) 632-2835
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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