Individual
VIRGINIA GAIL WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
25500 HAWTHORNE BLVD, TORRANCE, CO 90505
(310) 378-0920
(562) 866-5730
Mailing address
152 ASPEN, ROLLING HILLS ESTATES, CA 90274
(562) 866-1895
(562) 866-5730
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCS20227
CA
Other
Enumeration date
09/23/2005
Last updated
10/11/2007
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