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NPI Code Detail

MEDICARE: KAREN SUTHERLAND WILLIAMS

MEDICARE:   KAREN SUTHERLAND WILLIAMS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor84482TX

General Provider Information

NPI Number : 1588263081
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN SUTHERLAND WILLIAMS
Provider Business Mailing Address
First Line : 1329 AUTUMN TRL
Second Line :
City : LEWISVILLE
State : TX
Zip : 75067-5511
Country : US
Telephone Number : 972-984-0735
Fax Number :
Provider Business Practice Location Address
First Line : 3740 N JOSEY LN STE 145
Second Line :
City : CARROLLTON
State : TX
Zip : 75007-2471
Country : US
Telephone Number : 469-701-2333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2020
Last Update Date : 10/26/2020

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Directions to “ KAREN SUTHERLAND WILLIAMS ” Practice Location

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