MR. Brian Keith Willis JR., LCSW

NPI #1407597412 in Matteson, Illinois

Provider Information

NPI Number: 1407597412
Entity Type: Individual
Name: MR. Brian Keith Willis JR., LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Apr 5, 2022
Last Updated: Apr 5, 2022

Practice Location

Address: 3415 STATION DR
City: Matteson
State: Illinois
ZIP Code: 60443-2665
Phone: (815) 501-1060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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