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NPI Code Detail

MEDICARE: MS. DOROTHY WILLIAMS LMSW

MEDICARE: MS. DOROTHY 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 WorkerM2895MS

General Provider Information

NPI Number : 1841730744
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DOROTHY WILLIAMS LMSW
Provider Business Mailing Address
First Line : 365 W REED RD STE A-1
Second Line :
City : GREENVILLE
State : MS
Zip : 38701-6967
Country : US
Telephone Number : 662-702-5108
Fax Number : 662-702-5106
Provider Business Practice Location Address
First Line : 365 W REED RD STE A-1
Second Line :
City : GREENVILLE
State : MS
Zip : 38701-6967
Country : US
Telephone Number : 662-702-5108
Fax Number : 662-702-5106
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2017
Last Update Date : 02/27/2017

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