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Individual

CARMEN WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2802 N 37TH AVE, PHOENIX, AZ 85009-1338
(602) 828-5725
Mailing address
2802 N 37TH AVE, PHOENIX, AZ 85009-1338
(602) 828-5725

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BH4899
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
21213
AZ
Enumeration date
10/11/2017
Last updated
03/17/2018
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