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Contact Information

ANDREA WILLEY
4756 ROUTE 5
PASSUMPSIC, VT05861
 Phone: 636-255-4374
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for ANDREA WILLEY · (Female)

NPI Number 1710425715
Status Active
Credentials
Entity Individual
Enumeration date 02/09/2017
Last updated 02/09/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • VT License # 0890001036
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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