Individual
MRS. SHERRI SHUMAN WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, LMSW
Contact information
Practice address
1592 NORMAN DR, VALDOSTA, GA 31601-3581
(229) 316-1854
Mailing address
2841 N PATTERSON ST, VALDOSTA, GA 31602-1743
(229) 316-2600
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW004589
GA
1041C0700X
Clinical Social Worker
CSW004381
GA
106H00000X
Marriage & Family Therapist
MFT000854
GA
Other
Enumeration date
10/17/2008
Last updated
06/07/2022
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