Sherita Willis, IDD WAIVER SERVICES
NPI #1013633007 in Hattiesburg, Mississippi
Provider Information
- NPI Number
- 1013633007
- Entity Type
- Individual
- Name
- Sherita Willis, IDD WAIVER SERVICES
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Day Training/Habilitation Specialist
- Credential
- IDD WAIVER SERVICES
- Enumeration Date
- Oct 12, 2022
- Last Updated
- Oct 12, 2022
Practice Location
- Address
- 123 CHAMBLISS DR
- City
- Hattiesburg
- State
- Mississippi
- ZIP Code
- 39401-7885
- Phone
- (769) 390-7818
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training/Habilitation Specialist |
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