Individual
MR. KEVIN LEONARD WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
8495 CRATER LAKE HWY, WHITE CITY, OR 97503-3011
(541) 826-2111
(541) 830-7580
Mailing address
251 MEADOW DR, PO BOX 778, ASHLAND, OR 97520-3764
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L 3482
OR
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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