Carly Amber Willis

NPI #1396180543 in Pontiac, Michigan

Provider Information

NPI Number: 1396180543
Entity Type: Individual
Name: Carly Amber Willis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - School
Enumeration Date: May 1, 2013
Last Updated: May 1, 2013

Practice Location

Address: 114 ORCHARD LAKE RD
City: Pontiac
State: Michigan
ZIP Code: 48341-2244
Phone: (248) 624-3812

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - School — School	101YS0200X	Primary

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