Tanya S Willis

NPI #1831441146 in Bolivar, Tennessee

Provider Information

NPI Number
1831441146
Entity Type
Individual
Name
Tanya S Willis
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Oct 10, 2012
Last Updated
Oct 10, 2012

Practice Location

Address
10815 OLD HIGHWAY 64
ZIP Code
38008-3599
Phone
(731) 658-2510

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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