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Individual

ADOLPHUS WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8844 TOWN AND COUNTRY BLVD APT A, ELLICOTT CITY, MD 21043-3014
(410) 805-8017
Mailing address
8844 TOWN AND COUNTRY BLVD APT A, ELLICOTT CITY, MD 21043-3014
(410) 805-8017

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
629705
N/A
MD
Enumeration date
02/13/2023
Last updated
02/13/2023
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