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General NPI Number Information
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NPI Number | 1669927653
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Entity Type | Individual
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Provider Name | IMANI ARIEL WILLIAMS-EPHRIAM MSW LCSW QS
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Gender | Female
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Dates
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Enumeration Date | 08/18/2016
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Last Update Date | 03/06/2024
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Provider Practice Location Address
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Address Line | 1816 E OAKLAND PARK BLVD APT 61
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City | FORT LAUDERDALE
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State | FL
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Zip | 33306-1118
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Country | US
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Telephone | 954-560-4279
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Fax | 954-522-5174
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Provider Business Mailing Address
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Address Line | 1314 E LAS OLAS BLVD # 1590
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City | FORT LAUDERDALE
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State | FL
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Zip | 33301-2334
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Country | US
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Telephone | 545-604-2799
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Fax | 954-522-5174
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW17488
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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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 | SW17488
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License Number State | FL
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