Individual
MR. DWIGHT WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1122 W 47TH AVE, GARY, IN 46408-4408
(219) 885-4264
Mailing address
1122 W 47TH AVE, GARY, IN 46408-4408
(312) 342-6695
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IN
Other
Enumeration date
09/12/2014
Last updated
09/12/2014
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