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General NPI Number Information
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NPI Number | 1629834999
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Entity Type | Individual
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Provider Name | YOUMA KABIA-WILLIAMS LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/26/2024
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Last Update Date | 08/10/2024
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Provider Practice Location Address
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Address Line | 4006 HOLCOMB BRIDGE RD STE 210
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City | PEACHTREE CORNERS
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State | GA
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Zip | 30092-1814
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Country | US
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Telephone | 678-444-4505
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Fax | 678-606-9316
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Provider Business Mailing Address
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Address Line | 1010 BROMLEY EST
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City | PINE HILL
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State | NJ
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Zip | 08021-6405
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Country | US
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Telephone | 856-373-2218
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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 | 44SC06237500
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License Number State | NJ
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