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Individual

JANE E WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1610 SAN PEDRO DR NE #A, ALBUGUERQUE, NM 87110
(505) 265-0753
(505) 268-5722
Mailing address
1610 SAN PEDRO DR NE #A, ALBUGUERQUE, NM 87110
(505) 265-0753
(505) 268-5722

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
992464
CO
1041C0700X
Clinical Social Worker
Primary
C-09747
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
45274746
NM
05
50926373
CO
Enumeration date
03/06/2007
Last updated
07/08/2022
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