Wilma Jean Willis

NPI #1598361511 in Marietta, Oklahoma

Provider Information

NPI Number: 1598361511
Entity Type: Individual
Name: Wilma Jean Willis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Dec 6, 2020
Last Updated: Aug 21, 2022

Practice Location

Address: 2876 SIMMENTAL LN
City: Marietta
State: Oklahoma
ZIP Code: 73448-7341
Phone: (580) 795-4608

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Counselor	101Y00000X	Primary

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