Individual
MS. TERRI SHANE WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPAT
Contact information
Practice address
121 W COCHRAN ST, MIDDLETOWN, DE 19709-1302
(302) 229-1723
Mailing address
344 PHEASANT DR, MIDDLETOWN, DE 19709-9202
(302) 229-1723
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
AT-0000003
DE
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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