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Individual

JEFFREY DARRELL WILLARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
790 NEW HOLLAND AVE, LANCASTER, PA 17602-2137
(717) 390-0353
Mailing address
320 HIGHLAND DR, MOUNTVILLE, PA 17554-1232
(717) 285-7121
(717) 285-2658

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
PS008966L
PA

Other

Enumeration date
07/28/2006
Last updated
07/08/2007
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