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1093218349
ROBERT LAWRENCE WILLIS
VALDOSTA, GA
NPI
1093218349
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA APC006297)
Enumeration Date
2018-03-13
Last Update Date
2018-03-13
Business Address
ROBERT LAWRENCE WILLIS LaPC
111 N PATTERSON ST
VALDOSTA, GA 31601-5515
Phone number: 229-219-1831
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Mailing Address
ROBERT LAWRENCE WILLIS LaPC
111 N PATTERSON ST
VALDOSTA, GA 31601-5515
Phone number: 229-219-1831
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