STEPHEN WILLIS

FORT STEWART, GA
NPI1194737932
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: SC  9042)
Enumeration Date2006-08-12
Last Update Date2011-04-18
Business Address
-- STEPHEN WILLIS LISW-CP, BCD
1061 HARMON AVE STE 1D03
FORT STEWART, GA 31314-5641
Phone number: 912-435-6633
Mailing Address
-- STEPHEN WILLIS LISW-CP, BCD
1061 HARMON AVE STE 1D03
FORT STEWART, GA 31314-5641
Phone number: 912-435-6633
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