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Individual

LUDVIG A WILLIAMS III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3621 N KELLEY AVE, SUITE 100, OKLAHOMA CITY, OK 73111-4520
(405) 524-5525
Mailing address
14313 N PENN, # H, OKLAHOMA CITY, OK 73134
(405) 474-3974

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1578690137
OK

Other

Enumeration date
04/12/2011
Last updated
04/12/2011
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