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Individual

ALEXANDRA WILLARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSWA, LCASA

Contact information

Practice address
2670 DURHAM CHAPEL HILL BLVD, DURHAM, NC 27707-2829
(919) 251-9009
Mailing address
408 JONES AVE, HILLSBOROUGH, NC 27278-2217
(386) 956-9629

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
23532
NC
1041C0700X
Clinical Social Worker
Primary
P010449
NC

Other

Enumeration date
08/04/2017
Last updated
08/04/2017
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