Lourdes Felisa Willoughby, BA, QMHP, SF
NPI #1538646914 in Gloucester, Virginia
Provider Information
- NPI Number
- 1538646914
- Entity Type
- Individual
- Name
- Lourdes Felisa Willoughby, BA, QMHP, SF
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Adult Companion
- Credential
- BA, QMHP, SF
- Enumeration Date
- Jul 27, 2018
- Last Updated
- Jul 27, 2018
Practice Location
- Address
- 8180 HAMILTON DR
- City
- Gloucester
- State
- Virginia
- ZIP Code
- 23061-5296
- Phone
- (804) 824-2300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Adult Companion |
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