Individual
MR. SHERIEFE CAMERON WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CWCM
Contact information
Practice address
259 BILL FRANCE BLVD STE 200, DAYTONA BEACH, FL 32114
(386) 868-1992
Mailing address
41 BREEZE HILL LN, PALM COAST, FL 32137-8759
(386) 931-8156
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W452-783-91-248-0
STATE OF FLORIDA
FL
Enumeration date
02/17/2019
Last updated
02/17/2019
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