Individual
MRS. DEBRA JANE WILLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
161 IDA RED AVE, SPARTA, MI 49345-1715
(231) 689-7330
(231) 689-7345
Mailing address
161 IDA RED AVE, SPARTA, MI 49345-1715
(231) 689-7330
(231) 689-7345
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801060783
MI
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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