Individual
JANICE WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC., LCSW-C
Contact information
Practice address
8737 BROOKS DR STE 103, EASTON, MD 21601-7474
(410) 310-5584
Mailing address
27211 CHIPMANS LN, FEDERALSBURG, MD 21632-2160
(410) 310-5584
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
10267
MD
171100000X
Acupuncturist
Primary
U02128
MD
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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