Individual
MS. BETTY J WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
420 SILVER BRIDGE PLZ, GALLIPOLIS, OH 45631-1861
(740) 446-4600
Mailing address
PO BOX 390, HUNTINGTON, WV 25708-0390
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S0024586
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0253701
—
OH
Enumeration date
05/17/2006
Last updated
07/11/2018
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