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Individual

MS. JOYCE A. WILLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
424 HAMILTON BLVD., SOUTH BOSTON, VA 24592
(434) 572-6916
(434) 572-4881
Mailing address
PO BOX 488, SOUTH BOSTON, VA 24592-0488
(434) 572-6916
(434) 572-4881

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904002159
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1700890761 - GR. NPI
VA
01
281593
ANTHEM
VA
01
281594
ANTHEM
VA
01
281597
ANTHEM
VA
01
O85434
SENTARA
VA
Enumeration date
07/31/2006
Last updated
04/03/2008
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