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MR. WILLIAM MOULTON AVERY PHIFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Mailing address
3909 LINBROOK DR, COLUMBIA, SC 29204-4400
(803) 234-5055

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10448
SC

Other

Enumeration date
06/25/2013
Last updated
06/25/2013
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