Provider Information for 1710417084
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Dr. MARIA A WILLIAMS Ph.D., LMHC, SUDP
Sex: Female
NPI: 1710417084
Last Updated: 2024-02-09
Certification Date: 2024-02-09
Certification Date: 2024-02-09
Details
Name | Value | ||||||||||||||||
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NPI | 1710417084 | ||||||||||||||||
Enumeration Date | 2017-06-19 | ||||||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||||||
Sole Proprietor | YES | ||||||||||||||||
Status | Active | ||||||||||||||||
Mailing Address | 5900 BALUSTRADE BLVD SE LACEY, WA 98513-5075 United States Phone: 253-279-2217 | Fax: | ||||||||||||||||
Primary Practice Address | 5900 BALUSTRADE BLVD SE LACEY, WA 98513-5075 United States Phone: 253-279-2217 | Fax: | ||||||||||||||||
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