Individual
MRS. REBECCA SUE WILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3930 8TH ST S, SUITE 101, WISCONSIN RAPIDS, WI 54494-6511
(715) 423-2030
(715) 423-2032
Mailing address
3930 8TH ST. SOUTH SUITE 101, CHILD & ADOLESCENT PSYCHIATRY CONSULTANTS (BEHREND PSYC, WISCONSIN RAPIDS, WI 54494
(715) 423-2030
(715) 423-2032
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6637-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39771800
—
WI
Enumeration date
05/20/2008
Last updated
08/16/2016
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