Individual
MRS. PATRICIA ANN WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.,LLP
Contact information
Practice address
43740 N GROESBECK HWY, CLINTON TWP, MI 48036-1139
(586) 469-7802
(586) 469-7662
Mailing address
4210 LAKEWOOD DR, WATERFORD, MI 48329-3849
(248) 797-8259
(586) 469-7662
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
6301010461
MI
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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