Antonio Terrell Willis

NPI #1205293784 in Americus, Georgia

Provider Information

NPI Number: 1205293784
Entity Type: Individual
Name: Antonio Terrell Willis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Jan 28, 2016
Last Updated: Jan 28, 2016

Practice Location

Address: 415 N JACKSON ST
City: Americus
State: Georgia
ZIP Code: 31709-3015
Phone: (229) 938-5662

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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