Individual
HOLLY RENEE WILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2100 PENNSYLVANIA AVE NW STE W, WASHINGTON, DC 20037-3227
(202) 721-2200
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC50078523
DC
Other
Enumeration date
04/28/2011
Last updated
01/09/2012
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