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Organization

DIANE W WILLIAMS PSYD PC D/B/A INTEGRATIVE MENTAL HEALTH

Active
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Organization

DIANE W WILLIAMS PSYD PC D/B/A INTEGRATIVE MENTAL HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIANE W WILLIAMS PSYD (OWNER)
(505) 327-3145
Entity
Organization

Contact information

Practice address
3001 NORTHRIDGE DR STE A, FARMINGTON, NM 87401-2084
(505) 327-3145
Mailing address
PO BOX 1864, AZTEC, NM 87410-4864
(505) 327-3145

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1119
NM

Other

Enumeration date
01/20/2011
Last updated
01/20/2011
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