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Individual
TODD WILLIAMS
Active
Individual
TODD WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASE MANAGER, QMHS
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0074861
ODADAS
OH
01
—
0074946
ODMH
OH
01
—
01-0693
CARF
OH
01
—
H130910
PTAN GROUP
OH
Enumeration date
11/07/2017
Last updated
11/07/2017
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