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Search › Minnesota › 1041C0700X

D'Undra Willis, LICSW

NPI 1043747926 · on the registry since 2017 · sole proprietor

Practice

Address
1250 Moore Lake Dr E Ste 205d
Fridley, MN 55432
Phone
(612) 412-4819
Fax
(651) 304-6027
Organisation at this address
Ryze Inc
Tilah Care
Allied Care Inc
Specialysts, Inc.
Wild Recovery Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-11-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota