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General NPI Number Information
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NPI Number | 1679109797
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Entity Type | Individual
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Provider Name | MICHELLE LAKIESHA WILLIAMS M.ED, MSW, LISW
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Gender | Female
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Dates
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Enumeration Date | 03/20/2020
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 5726 SOUTHWYCK BLVD STE 200
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City | TOLEDO
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State | OH
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Zip | 43614-1510
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Country | US
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Telephone | 419-214-1766
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Fax | 419-214-1792
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Provider Business Mailing Address
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Address Line | 5726 SOUTHWYCK BLVD STE 200-B
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City | TOLEDO
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State | OH
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Zip | 43614-1559
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Country | US
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Telephone | 567-742-7930
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Fax | 419-867-0464
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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 | I.2507485
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | S.2106099
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License Number State | OH
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