Individual
MRS. VIVIAN JOY WILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
1651 N MCLAURIN LN, FUQUAY VARINA, NC 27526-5345
(919) 557-1127
(919) 557-1144
Mailing address
1651 N MCLAURIN LANE, BALLENTINE ELEMENTARY SCHOOL, FUQUAY-VARINA, NC 27526-5345
(919) 557-1127
(919) 557-1144
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
598
NC
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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