Individual
DEBORAH L WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1091 CENTRAL AVE, WABASH, IN 46992-1526
(260) 563-4407
(260) 563-6440
Mailing address
1814 W 500 N, MARION, IN 46952-9107
(765) 662-9971
(765) 651-6563
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34003856A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000004027
MPLAN ID
IN
01
—
000000183247
ANTHEM PROVIDER ID
IN
01
—
000000317611
GENCORP PROVIDER ID
IN
01
—
0007186320
AETNA PROVIDER ID
IN
01
—
088367428001
GENERAL LISCENCE #
IN
01
—
IN0017671
TRICARE PROVIDER ID
IN
Enumeration date
01/11/2007
Last updated
07/09/2007
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