Individual
MICHELLE LYNN WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1310 SARAN CT, ODENTON, MD 21113-1642
(410) 204-4092
Mailing address
1110 BENFIELD BLVD STE B, MILLERSVILLE, MD 21108-2644
(410) 863-7213
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
24862
MD
Other
Enumeration date
06/14/2019
Last updated
10/24/2023
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