STACY L WILLIS

AUGUSTA, GA
NPI1982018370
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: GA  LCB201400000776)
Enumeration Date2014-06-13
Last Update Date2014-06-13
Business Address
STACY L WILLIS BS
1007 CADDENWOODS DR
AUGUSTA, GA 30906-5618
Phone number: 706-751-4089
Mailing Address
STACY L WILLIS BS
1007 CADDENWOODS DR
AUGUSTA, GA 30906-5618
Phone number: 706-751-4089
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