Individual
LINIA WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
102 EMMA ROSE CT, WILLIAMSBURG, VA 23185-5787
(757) 660-7578
Mailing address
102 EMMA ROSE CT, WILLIAMSBURG, VA 23185-5787
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202006306
VA
Other
Enumeration date
04/03/2014
Last updated
04/03/2014
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