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Individual
MR. RONALD WILLIAMS
Active
Individual
MR. RONALD WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, CADAC II
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
T299
IN
1041C0700X
Clinical Social Worker
Primary
34004977A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000533182
ANTHEM PIN
IN
Enumeration date
08/03/2005
Last updated
10/29/2015
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