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Individual
WILLIAM WADSWORTH
Active
Individual
WILLIAM WADSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW CCDP-D CAADC GAM
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
SW1277670
PA
1041C0700X
Clinical Social Worker
Primary
SW127670
PA
Other
Enumeration date
04/22/2010
Last updated
07/12/2022
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