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NPI Code Detail

MEDICARE: CHRISTY WILLIAMS LCSW

MEDICARE:   CHRISTY  WILLIAMS  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerM7536MS

General Provider Information

NPI Number : 1114232303
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTY WILLIAMS LCSW
Provider Business Mailing Address
First Line : PO BOX 515
Second Line :
City : RIPLEY
State : MS
Zip : 38663-0515
Country : US
Telephone Number : 662-837-0000
Fax Number : 662-837-7003
Provider Business Practice Location Address
First Line : 15921 BOUNDARY DR
Second Line :
City : ASHLAND
State : MS
Zip : 38603-7740
Country : US
Telephone Number : 662-224-8951
Fax Number : 662-224-6459
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2010
Last Update Date : 04/06/2021

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Directions to “ CHRISTY WILLIAMS LCSW” Practice Location

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