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General NPI Number Information
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NPI Number | 1831905827
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Entity Type | Individual
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Provider Name | HEAVEN LEIGH WILLIAMS MSW, APSW
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Gender | Female
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Dates
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Enumeration Date | 12/05/2024
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 26 SCHROEDER CT STE 210
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City | MADISON
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State | WI
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Zip | 53711-2503
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Country | US
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Telephone | 608-444-7906
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Fax |
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Provider Business Mailing Address
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Address Line | 6908 CENTURY AVE APT 207
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City | MIDDLETON
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State | WI
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Zip | 53562-1737
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Country | US
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Telephone | 414-722-3633
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 135241-121
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License Number State | WI
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