JACKIE WILLIS

LOUISA, KY
NPI1881470979
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2023-09-05
Last Update Date2023-09-05
Business Address
JACKIE WILLIS
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938
Mailing Address
JACKIE WILLIS
332 RIVER BEND RD
LOUISA, KY 41230-1407
Phone number: 606-638-0938
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