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General NPI Number Information
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NPI Number | 1952694564
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Entity Type | Individual
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Provider Name | LILLIAN ANN WILLIAMS LCPC
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Gender | Female
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Dates
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Enumeration Date | 05/16/2011
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Last Update Date | 02/07/2018
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Provider Practice Location Address
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Address Line | 157 PARK ST STE 35
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City | BANGOR
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State | ME
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Zip | 04401-5094
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Country | US
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Telephone | 207-631-9466
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Fax |
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Provider Business Mailing Address
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Address Line | 90 HAY RD
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City | HUDSON
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State | ME
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Zip | 04449-3036
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Country | US
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Telephone | 207-327-2091
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | CC4233
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License Number State | ME
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