Provider Information for 1891883427
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Ms. CAROLYN DOUGLAS WILLIAMS LCSW
Sex: Female
NPI: 1891883427
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1891883427 | ||||||||
| Enumeration Date | 2006-10-10 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 6341 PALM AVE RIVERSIDE, CA 92506-2310 United States Phone: 951-686-6393 | Fax: | ||||||||
| Primary Practice Address | 9990 COUNTY FARM RD RIVERSIDE, CA 92503-3542 United States Phone: 951-358-4840 | Fax: | ||||||||
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