Individual
ELIZABETH WILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4008 CHEYENNE DR, GREELEY, CO 80634-9333
(970) 381-0701
Mailing address
4008 CHEYENNE DR, GREELEY, CO 80634-9333
(970) 381-0701
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
.09927584
CO
1041C0700X
Clinical Social Worker
09927584
CO
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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