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General NPI Number Information
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NPI Number | 1336204148
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Entity Type | Individual
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Provider Name | CARRIE LEE WILLIAMS MS ALMFT
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Gender | Female
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Dates
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Enumeration Date | 12/22/2006
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Last Update Date | 05/22/2008
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Provider Practice Location Address
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Address Line | 2583 SOROS CT
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City | DEKALB
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State | IL
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Zip | 60115-5800
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Country | US
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Telephone | 815-901-1070
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Fax | 815-748-7602
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Provider Business Mailing Address
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Address Line | 2583 SOROS CT
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City | DEKALB
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State | IL
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Zip | 60115
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Country | US
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Telephone | 815-748-7602
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Fax | 815-748-7602
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 208000042
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License Number State | IL
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