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Individual

AUSTIN LEE WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CAC/OSTEO MD-STUDENT

Contact information

Practice address
1398 SW 160TH, SUNRISE, FL 33326
(954) 290-8446
Mailing address
7748 RUSTLING PINES DR, MILTON, FL 32583-3007
(850) 407-0607

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
390200000X
Student in an Organized Health Care Education/Training Program
VA

Other

Enumeration date
07/27/2020
Last updated
09/15/2020
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