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Individual
TERRYLE L WILLIAMS
Active
Individual
TERRYLE L WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00847
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
217775
KAISER PERMANENTE
—
01
—
223466
MAMSI
—
01
—
224979
COM PSYCHE
—
01
—
5383476
AETNA
MD
01
—
54955
CIGNA
—
01
—
6231194
VALUE OPTIONS
—
01
—
74032
UNITED HEALTHCARE
—
01
—
PVPB2089
AMERICAN PSYCH SYSTEM
MD
01
—
QX93TL
CAREFIRST BC/BS
—
01
—
R4550001
CAREFIRST BLUE CHOICE
—
Enumeration date
08/07/2006
Last updated
07/08/2007
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