Individual
MR. LARRY A WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW, SRT
Contact information
Practice address
4947 FOSSIL BUTTE DR, COLORADO SPRINGS, CO 80923-5183
(719) 260-0822
(800) 653-0106
Mailing address
4947 FOSSIL BUTTE DR, COLORADO SPRINGS, CO 80923-5183
(719) 260-0822
(800) 653-0106
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
991033
CO
1041C0700X
Clinical Social Worker
Primary
991033
CO
1041S0200X
School Social Worker
991033
CO
Other
Enumeration date
06/25/2012
Last updated
03/18/2019
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