Individual
COOPER WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2610 W RICHWOODS BLVD, PEORIA, IL 61604-7112
(309) 323-6600
Mailing address
2610 W RICHWOODS BLVD, PEORIA, IL 61604-7112
(309) 323-6642
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
15036
TN
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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