Individual
MARSHAY WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3771 POPLAR AVE, MEMPHIS, TN 38111-6020
(901) 584-8281
Mailing address
70 CHARLOTTE DR, OAKLAND, TN 38060-4514
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-190348
TN
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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