GERALD WILLIS

HIGHLAND PARK, MI
NPI1952428286
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-03-23
Last Update Date2007-07-26
Business Address
Mr. GERALD WILLIS F.S.A.C.
13220 WOODWARD AVE
HIGHLAND PARK, MI 48203-3610
Phone number: 313-852-1637
Mailing Address
Mr. GERALD WILLIS F.S.A.C.
13220 WOODWARD AVE
HIGHLAND PARK, MI 48203-3610
Phone number: 313-852-1637
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