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NPI 1740383694

NPI 1740383694 : SYBIL YVETTE WILLIAMS-GRAY MSW., LCSW., LCADC : HIGHLAND PARK, NJ

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General NPI Number Information
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    NPI Number           |    1740383694
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    Entity Type          |    Individual 
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    Provider Name        |    SYBIL YVETTE WILLIAMS-GRAY MSW., LCSW., LCADC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/06/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    324 RARITAN AVE. SUITE 115
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    City                 |    HIGHLAND PARK
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    State                |    NJ
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    Zip                  |    08904-2758
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    Country              |    US
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    Telephone            |    732-339-1918
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    Fax                  |    732-339-1918
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Provider Business Mailing Address
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    Address Line         |    324 RARITAN AVE SUITE 115
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    City                 |    HIGHLAND PARK
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    State                |    NJ
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    Zip                  |    08904-2758
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    Country              |    US
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    Telephone            |    732-339-1918
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    Fax                  |    732-339-1918
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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        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    37LC00105000
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    License Number State |    NJ
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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       |    44SC04669100
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    License Number State |    NJ
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