Individual
MR. WAYNE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
435 WARREN ST, ROXBURY, MA 02119-1833
(617) 442-7400
(617) 541-3797
Mailing address
435 WARREN ST, ROXBURY, MA 02119-1833
(617) 442-7400
(617) 541-3797
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
152
MA
104100000X
Social Worker
4022707
MA
Other
Enumeration date
08/15/2007
Last updated
09/12/2007
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