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Carly Willis
NPI 1326514209 · on the registry since 2018 · sole proprietor
Practice
- Address
- 6640 Poe Ave Ste 100
Dayton, OH 45414 - Phone
- (937) 617-2273
- Fax
- (937) 387-9987
- Clinicians at this address
- 32
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-10-18
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 Ohio