Individual
TAJUANNA WILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
24 WEATHERFORD SQ, JACKSON, TN 38305-2202
(731) 660-6738
Mailing address
301 N BRADFORD AVE, BROWNSVILLE, TN 38012-4122
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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