Individual
JESSICA WILLIFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2108 MERIDIAN MARKET DR, FUQUAY VARINA, NC 27526-5749
(910) 403-1187
(919) 655-1612
Mailing address
2108 MERIDIAN MARKET DR, FUQUAY VARINA, NC 27526-5749
(910) 403-1187
(919) 655-1612
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
P019096
NC
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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