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Individual

JUDITH L WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
2355 E CEDAR CANYONS RD, FORT WAYNE, IN 46845-9330
(260) 925-2017
(260) 925-9713
Mailing address
PO BOX 289, EDGERTON, OH 43517-0289
(260) 925-2017
(260) 925-9713

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39000462
IN
103TC0700X
Clinical Psychologist
Primary
20042458A
IN

Other

Enumeration date
11/17/2005
Last updated
09/01/2021
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