THOMAS WILLIS

WEST MONROE, LA
NPI1063862175
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA  1544)
Enumeration Date2016-06-20
Last Update Date2016-06-20
Business Address
-- THOMAS WILLIS CAC
1416 NATCHITOCHES ST
WEST MONROE, LA 71292-3751
Phone number: 318-855-8773
Mailing Address
-- THOMAS WILLIS CAC
1416 NATCHITOCHES ST
WEST MONROE, LA 71292-3751
Phone number: 318-855-8773
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