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General NPI Number Information
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NPI Number | 1578176368
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Entity Type | Individual
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Provider Name | OLYSHA WILLIAMSON LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/31/2020
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Last Update Date | 08/31/2020
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Provider Practice Location Address
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Address Line | 22720 MORTON RANCH RD SUITE 160 UNIT 201
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City | KATY
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State | TX
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Zip | 77449
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Country | US
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Telephone | 704-906-8879
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Fax |
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Provider Business Mailing Address
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Address Line | 2360 PROGRESS CT
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City | WALDORF
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State | MD
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Zip | 20601-3533
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Country | US
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Telephone | 704-906-8879
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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 | 63450
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License Number State | TX
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