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NPI Code Detail

MEDICARE: CHRISTINE E WILLIAMS LMSW

MEDICARE: CHRISTINE E WILLIAMS LMSW
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
1104100000XSocial WorkerMC8572ME
21041C0700XClinical Social WorkerLC10027ME

General Provider Information

NPI Number : 1114986684
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE E WILLIAMS LMSW
Provider Business Mailing Address
First Line : 50 MOODY ST
Second Line :
City : SACO
State : ME
Zip : 04072-1536
Country : US
Telephone Number : 800-434-3000
Fax Number :
Provider Business Practice Location Address
First Line : 50 MOODY ST
Second Line :
City : SACO
State : ME
Zip : 04072-1536
Country : US
Telephone Number : 800-434-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2006
Last Update Date : 03/01/2010

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Directions to “ CHRISTINE E WILLIAMS LMSW” Practice Location

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