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Individual

KIMBERLY VAUGHAN WILLETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, MSW, BA

Contact information

Practice address
4224 HOLLAND RD STE 106, VIRGINIA BEACH, VA 23452-1900
(757) 320-5819
Mailing address
908 LA TIERRA CT, VIRGINIA BEACH, VA 23456-6432
(757) 427-5007

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
0904011868
VA

Other

Enumeration date
04/01/2019
Last updated
10/20/2023
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