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1548907173
MICHELLE DENISE WILLIS
MCDONOUGH, GA
NPI
1548907173
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: GA 0105)
Enumeration Date
2022-05-16
Last Update Date
2022-05-16
Business Address
MICHELLE DENISE WILLIS MA, MA, LGADC, CMAC
2005 TOWNE PARK DR
MCDONOUGH, GA 30252-6871
Phone number: 443-851-0179
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Mailing Address
MICHELLE DENISE WILLIS MA, MA, LGADC, CMAC
2005 TOWNE PARK DR
MCDONOUGH, GA 30252-6871
Phone number: 443-851-0179
Copy
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