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NPI 1043936644

NPI 1043936644 : HEATHER BRITNEY WILLIAMS LCSW-A : WADE, NC

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General NPI Number Information
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    NPI Number           |    1043936644
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    Entity Type          |    Individual 
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    Provider Name        |    HEATHER BRITNEY WILLIAMS LCSW-A
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/14/2022
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    Last Update Date     |    10/14/2022
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Provider Practice Location Address
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    Address Line         |    6802 MAIN ST 
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    City                 |    WADE
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    State                |    NC
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    Zip                  |    28395-9770
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    Country              |    US
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    Telephone            |    910-818-5175
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    936 NORTHBROOK DR 
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    City                 |    RALEIGH
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    State                |    NC
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    Zip                  |    27609-5518
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    P017919
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    License Number State |    NC
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