Individual
MR. JAWANN K WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Contact information
Practice address
5570 STERRETT PL STE 201, COLUMBIA, MD 21044-2649
(301) 541-3413
Mailing address
5570 STERRETT PL STE 201, COLUMBIA, MD 21044-2649
(301) 541-3413
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
23842
MD
1041C0700X
Clinical Social Worker
Primary
23842
MD
Other
Enumeration date
05/13/2019
Last updated
02/02/2021
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