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Organization
WILLIAMS LIFE CENTER
Active
Organization
WILLIAMS LIFE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLEVELAND WILLIAMS (CHIEF EXECUTIVE OFFICER)
(301) 345-0821
Entity
Organization
Contact information
Practice address
6301 IVY LN, GREENBELT, MD 20770-1402
(301) 345-0821
(301) 345-0828
Mailing address
6301 IVY LN, GREENBELT, MD 20770-1402
(301) 345-0821
(301) 345-0828
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14204
MD
1041C0700X
Clinical Social Worker
16161
MD
1041C0700X
Clinical Social Worker
17785
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8085013
—
MD
Enumeration date
05/17/2013
Last updated
05/17/2013
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