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1649099300
NYIA WILLIS
LA PLATA, MD
NPI
1649099300
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MD ADT3346)
Enumeration Date
2024-10-08
Last Update Date
2024-10-08
Business Address
NYIA WILLIS BSW, ADT
1014 WASHINGTON AVE
LA PLATA, MD 20646-4228
Phone number: 240-342-3240
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Mailing Address
NYIA WILLIS BSW, ADT
8409 HOLLOW TREE LN UPPR MARLBORO
UPPER MARLBORO, MD 20772-9621
Phone number: 301-316-8230
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