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NPI Code Detail

MEDICARE: D. MANNING WILLIAMS LMSW

MEDICARE: D. MANNING 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
11041C0700XClinical Social Worker6801020307MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DW020307OTHERMIBCBS PIN

General Provider Information

NPI Number : 1518011253
Entity Type Code : Individual
Provider Name (Legal Business Name) : D. MANNING WILLIAMS LMSW
Provider Business Mailing Address
First Line : 6822 GILMAN ST
Second Line :
City : GARDEN CITY
State : MI
Zip : 48135-2203
Country : US
Telephone Number : 313-531-2500
Fax Number : 313-255-3471
Provider Business Practice Location Address
First Line : 24424 W MCNICHOLS RD
Second Line :
City : DETROIT
State : MI
Zip : 48219-3653
Country : US
Telephone Number : 313-531-2500
Fax Number : 313-255-3471
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2007
Last Update Date : 07/09/2007

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Directions to “ D. MANNING WILLIAMS LMSW” Practice Location

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