MARLA JEAN WILLS

ELKHART, IN
NPI1518945633
Former NameMARLA JEAN MINER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34005109A)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: TX  S19336)
Enumeration Date2006-01-09
Last Update Date2012-04-09
Business Address
-- MARLA JEAN WILLS LCSW
60448 SURREY LN
ELKHART, IN 46517-9117
Phone number: 574-875-1217
Mailing Address
-- MARLA JEAN WILLS LCSW
60448 SURREY LN
ELKHART, IN 46517-9117
Phone number: 574-875-1217