Individual
MRS. MELISSA ANTOINETTE WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
800 INGRAHAM ST NW, WASHINGTON, DC 20011-2904
(202) 576-6202
(202) 576-6205
Mailing address
800 INGRAHAM ST NW, WASHINGTON, DC 20011-2904
(202) 576-6202
(202) 576-6205
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
LC50079341
DC
Other
Enumeration date
05/04/2009
Last updated
10/11/2013
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