Ivy L Willis
NPI #1407410178 in South Euclid, Ohio
Provider Information
- NPI Number
- 1407410178
- Entity Type
- Individual
- Name
- Ivy L Willis
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor
- Enumeration Date
- Apr 27, 2019
- Last Updated
- Apr 27, 2019
Practice Location
- Address
- 4266 MONTICELLO BLVD
- City
- South Euclid
- State
- Ohio
- ZIP Code
- 44121-2815
- Phone
- (216) 385-7770
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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