CHAN WILLIS

JACKSON, MS
NPI1134663818
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MS  0347)
Enumeration Date2016-12-14
Last Update Date2016-12-14
Business Address
-- CHAN WILLIS
3450 HIGHWAY 80 W
JACKSON, MS 39209-7201
Phone number: 601-321-2400
Mailing Address
-- CHAN WILLIS
3450 HIGHWAY 80 W
JACKSON, MS 39209-7201
Phone number: 601-321-2400
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