Susan M Willis, LCSW

NPI #1356389092 in Ithaca, New York

Provider Information

NPI Number: 1356389092
Entity Type: Individual
Name: Susan M Willis, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LCSW
Enumeration Date: Jun 3, 2006
Last Updated: Apr 5, 2011

Practice Location

Address: 201 EAST GREEN ST
City: Ithaca
State: New York
ZIP Code: 14850
Phone: (607) 274-6200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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