Individual
EMILY WILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20695 SW KINNAMAN RD, ALOHA, OR 97007-1064
(503) 440-7785
(503) 356-8327
Mailing address
4585 SW 185TH AVE, ALOHA, OR 97007-1557
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/21/2011
Last updated
11/21/2011
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