Kelly Willard
NPI #1013382787 in Canoga Park, California
Provider Information
- NPI Number
- 1013382787
- Entity Type
- Individual
- Name
- Kelly Willard
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Dec 7, 2015
- Last Updated
- Dec 7, 2015
Practice Location
- Address
- 22110 ROSCOE BLVD
- Address 2
- SUITE 204
- City
- Canoga Park
- State
- California
- ZIP Code
- 91304-3845
- Phone
- (818) 713-8700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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