Individual
ROBERT K. WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED
Contact information
Practice address
2818 APPALOOSA RUN, ELLENWOOD, GA 30294-3968
(404) 630-5301
Mailing address
2818 APPALOOSA RUN, ELLENWOOD, GA 30294-3968
(404) 630-5301
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
1366328
GA
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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