WANETA DESHON WILLIS-COOPER

HAMMOND, IN
NPI1053584938
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy222Q00000X Developmental Therapist
Enumeration Date2008-04-10
Last Update Date2015-04-06
Business Address
Ms. WANETA DESHON WILLIS-COOPER
6116 MARSHALL AVE
HAMMOND, IN 46323-1054
Phone number: 219-852-0998
Mailing Address
Ms. WANETA DESHON WILLIS-COOPER
6116 MARSHALL AVE
HAMMOND, IN 46323-1054
Phone number: 219-852-0998