Individual
CASSANDRA WILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
595 W MAIN ST, WATERTOWN, NY 13601-1335
(315) 788-1530
Mailing address
482 BLACK RIVER PKWY, WATERTOWN, NY 13601-2416
(315) 782-1777
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
797093
NY
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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