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Individual

PHYLLIS WILLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
1800 N CHARLES ST STE 804, BALTIMORE, MD 21201-5987
(667) 205-1350
Mailing address
2275 RESEARCH BLVD STE 500, ROCKVILLE, MD 20850-6203

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
02/15/2022
Last updated
02/02/2026
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