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Individual

DANIEL CLARK WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
933 BRADBURY DR SE STE 2222, ALBUQUERQUE, NM 87106-4375
(505) 272-1476
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1492
AL
103TC0700X
Clinical Psychologist
52912
MS
103TC0700X
Clinical Psychologist
Primary
PSY1625
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03431811
MS
Enumeration date
06/06/2008
Last updated
10/30/2024
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