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General NPI Number Information
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NPI Number | 1578096517
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Entity Type | Organization
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Legal Business Name | WILLIAMS COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 04/06/2017
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Last Update Date | 04/06/2017
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Provider Practice Location Address
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Address Line | 27801 EUCLID AVE #520
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City | EUCLID
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State | OH
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Zip | 44132-3549
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Country | US
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Telephone | 216-334-9367
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Fax | 216-350-6836
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Provider Business Mailing Address
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Address Line | 27801 EUCLID AVENUE #520
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City | EUCLID
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State | OH
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Zip | 44132
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Country | US
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Telephone | 216-334-9367
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Fax | 216-350-6836
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Authorized Official
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Title or Position | SOCIAL WORKER
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Name | DWAYNE MATTHEW WILLIAMS
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Credential | LISW., LCSW
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Telephone | 216-334-9367
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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 | I.1302301
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License Number State | OH
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