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1194737932
STEPHEN WILLIS
FORT STEWART, GA
NPI
1194737932
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: SC 9042)
Enumeration Date
2006-08-12
Last Update Date
2011-04-18
Business 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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Mailing Address
STEPHEN WILLIS LISW-CP, BCD
1061 HARMON AVE STE 1D03
FORT STEWART, GA 31314-5641
Phone number: 912-435-6633
Copy
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