Provider Information for 1679138622
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Ms. LINDSEY RAE WILLIAMS LCPC
Other Names:Former Name:Ms. LINDSEY RAE BLAKLEYSex: Female
NPI: 1679138622
Last Updated: 2019-05-06
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1679138622 | ||||||||
| Enumeration Date | 2019-05-06 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 4920 E STATE ST ROCKFORD, IL 61108-2272 United States Phone: 815-227-9002 | Fax:608-256-0743 | ||||||||
| Primary Practice Address | 4920 E STATE ST ROCKFORD, IL 61108-2272 United States Phone: 608-280-2095 | Fax:815-256-0743 | ||||||||
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