Lucille Willie

NPI #1891688891 in Gallup, New Mexico

Provider Information

NPI Number: 1891688891
Entity Type: Individual
Name: Lucille Willie
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 30, 2025
Last Updated: May 30, 2025

Practice Location

Address: 950 W AZTEC AVE
City: Gallup
State: New Mexico
ZIP Code: 87301-6666
Phone: (866) 273-2451

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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