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NPI Code Detail

MEDICARE: MS. DEBRA A WILLIAMS MSW, LCSW

MEDICARE: MS. DEBRA A WILLIAMS MSW, LCSW
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
11041C0700XClinical Social WorkerWY-764WY

General Provider Information

NPI Number : 1649575838
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DEBRA A WILLIAMS MSW, LCSW
Provider Business Mailing Address
First Line : 2836 DIXON CREEK LN
Second Line :
City : FORT COLLINS
State : CO
Zip : 80526-6272
Country : US
Telephone Number : 307-222-9046
Fax Number :
Provider Business Practice Location Address
First Line : 623 W 20TH ST
Second Line :
City : CHEYENNE
State : WY
Zip : 82001-3501
Country : US
Telephone Number : 307-222-9046
Fax Number : 307-316-8792
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2011
Last Update Date : 11/15/2022

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