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Individual
DEWAYNE WILLIAMS
Active
Individual
DEWAYNE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
011038647
LA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/04/2017
Last updated
11/08/2018
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