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NPI Code Detail

MEDICARE: MS. MARTHE J WILLIAMS MSW, LISW

MEDICARE: MS. MARTHE J WILLIAMS MSW, LISW
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 Worker3225SC
21041C0700XClinical Social Worker3225SC

General Provider Information

NPI Number : 1437405990
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARTHE J WILLIAMS MSW, LISW
Provider Business Mailing Address
First Line : 2625 RUTLEDGE ST
Second Line :
City : COLUMBIA
State : SC
Zip : 29204-2520
Country : US
Telephone Number : 893-799-0144
Fax Number : 803-799-1136
Provider Business Practice Location Address
First Line : 2625 RUTLEDGE ST
Second Line :
City : COLUMBIA
State : SC
Zip : 29204-2520
Country : US
Telephone Number : 893-799-0144
Fax Number : 803-799-1136
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2012
Last Update Date : 08/01/2012

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