WILLIS SHOCKLEY

ANCHORAGE, AK
NPI1033298088
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2006-11-02
Last Update Date2007-07-08
Business Address
Mr. WILLIS SHOCKLEY
4045 LAKE OTIS PKWY SUITE 101
ANCHORAGE, AK 99508-5211
Phone number: 907-762-2816
Mailing Address
Mr. WILLIS SHOCKLEY
4045 LAKE OTIS PKWY SUITE 101
ANCHORAGE, AK 99508-5211
Phone number:
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