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Individual
WILLIAM DAVILA
Active
Individual
WILLIAM DAVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1303295 (MH)
—
MA
05
—
1307756 (SA)
—
MA
01
—
M18463
BC / BS
MA
Enumeration date
02/08/2011
Last updated
02/08/2011
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