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Individual

VALERIE WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2200 4TH ST, 2200 FOURTH STREET, BAKER CITY, OR 97814-2615
(541) 523-3646
(541) 523-7602
Mailing address
PO BOX 649, 2200 FOURTH STREET, BAKER CITY, OR 97814-0649
(541) 523-3646
(541) 523-7602

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
014274
OR
Enumeration date
04/29/2009
Last updated
04/29/2009
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