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Individual

MICHAEL D. WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
174 DEAN ST, UNIT D, TAUNTON, MA 02780-2782
(508) 212-5730
(508) 337-9338
Mailing address
3 SANDY HILL RD, MANSFIELD, MA 02048-3246
(508) 212-5730
(508) 337-9338

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7469
MA
103TC1900X
Counseling Psychologist
7469
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0596281
MA
Enumeration date
10/23/2006
Last updated
10/22/2010
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