ANGELINE DOMINIQUE WILLIS

SALEM, OR
NPI1013477462
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2019-03-21
Last Update Date2019-03-21
Business Address
ANGELINE DOMINIQUE WILLIS
821 SAGINAW ST S
SALEM, OR 97302-4121
Phone number: 503-315-8646
Mailing Address
ANGELINE DOMINIQUE WILLIS
30323 S BRUCE TOMLIN ST
MOLALLA, OR 97038-7624
Phone number: 503-654-3400