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General NPI Number Information
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NPI Number | 1386161131
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Entity Type | Individual
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Provider Name | ASER L WILLIAMS LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/23/2017
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Last Update Date | 07/23/2020
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Provider Practice Location Address
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Address Line | 900 CHICAGO AVE # 204
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City | EVANSTON
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State | IL
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Zip | 60202-1872
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Country | US
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Telephone | 312-661-5598
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Fax |
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Provider Business Mailing Address
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Address Line | 1751D W HOWARD ST # 267
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City | CHICAGO
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State | IL
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Zip | 60626-1626
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Country | US
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Telephone | 312-661-5598
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 149017964
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 149017694
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 149017694
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149017964
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License Number State |
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