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1083700652
MARY WILLIS
ROANOKE, VA
NPI
1083700652
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: VA 0701003372)
Enumeration Date
2006-10-04
Last Update Date
2007-07-09
Business Address
Ms. MARY WILLIS LPC
4656 BRAMBLETON AVENUE
ROANOKE, VA 24018
Phone number: 540-772-8043
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Mailing Address
Ms. MARY WILLIS LPC
755 INDEPENDENCE BLVD
CHRISTIANSBURG, VA 24073
Phone number: 540-392-0711
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