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Individual
MICHAEL RYAN WILLIAMS
Active
Individual
MICHAEL RYAN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
001100
TN
1041C0700X
Clinical Social Worker
Primary
0904003054
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
175719
BCBS
VA
Enumeration date
05/25/2005
Last updated
07/08/2007
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