BRIAN KEITH WILLIS

MATTESON, IL
NPI1407597412
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.022160)
Enumeration Date2022-04-05
Last Update Date2022-04-05
Business Address
Mr. BRIAN KEITH WILLIS LCSW
3415 STATION DR
MATTESON, IL 60443-2665
Phone number: 815-501-1060
Mailing Address
Mr. BRIAN KEITH WILLIS LCSW
3415 STATION DR
MATTESON, IL 60443-2665
Phone number:
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