Individual
MARY WRIGHT WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C., L.M.F.T.
Contact information
Practice address
444 WATER LN, TAPPAHANNOCK, VA 22560-5090
(804) 832-1953
Mailing address
PO BOX 695, GLOUCESTER, VA 23061-0695
(804) 832-1953
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701002720
VA
106H00000X
Marriage & Family Therapist
Primary
0717000645
VA
Other
Enumeration date
04/30/2010
Last updated
04/30/2010
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