LATRICE WILLIS

CHAMPAIGN, IL
NPI1437622230
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.019796)
Enumeration Date2019-01-04
Last Update Date2021-10-22
Business Address
LATRICE WILLIS LCSW
1619 S MATTIS AVE
CHAMPAIGN, IL 61821-5470
Phone number: 217-979-9249
Mailing Address
LATRICE WILLIS LCSW
1619 S MATTIS AVE
CHAMPAIGN, IL 61821-5470
Phone number: 217-979-9249
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