Individual
GLEN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
918 MADISON ST, EVERETT, WA 98203-4542
(425) 355-8668
(425) 347-4188
Mailing address
918 MADISON ST, EVERETT, WA 98203-4542
(425) 355-8668
(425) 347-4188
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
RC00053214
WA
Other
Enumeration date
04/01/2008
Last updated
04/01/2008
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