Individual
MS. KIYANA WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SW
Contact information
Practice address
1411 MULLIKIN CT, BALTIMORE, MD 21231-1017
(667) 352-8053
Mailing address
107 E 25TH ST, BALTIMORE, MD 21218-5213
(410) 558-0032
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/19/2025
Last updated
12/19/2025
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