EDWIN W WILLIS

BOSTON, MA
NPI1124561451
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MA  1810 LADC1)
Enumeration Date2016-11-18
Last Update Date2016-11-18
Business Address
EDWIN W WILLIS
774 ALBANY ST
BOSTON, MA 02118-2520
Phone number: 617-534-5613
Mailing Address
EDWIN W WILLIS
1010 MASSACHUSETTS AVE
BOSTON, MA 02118-2600
Phone number: 617-419-3408
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