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NPI Code Detail

MEDICARE: CHERYL WILLIAMS

MEDICARE: CHERYL 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
11041C0700XClinical Social Worker0904002482VA

General Provider Information

NPI Number : 1912337452
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERYL WILLIAMS
Provider Business Mailing Address
First Line : 225 W OLNEY RD
Second Line :
City : NORFOLK
State : VA
Zip : 23510-1534
Country : US
Telephone Number : 757-823-1709
Fax Number : 757-441-2158
Provider Business Practice Location Address
First Line : 225 W OLNEY RD
Second Line :
City : NORFOLK
State : VA
Zip : 23510-1534
Country : US
Telephone Number : 757-823-1709
Fax Number : 757-441-2158
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2013
Last Update Date : 11/20/2013

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Directions to “ CHERYL WILLIAMS ” Practice Location

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