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Individual

MR. PAUL A WILLIAMS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW, LMFT

Contact information

Practice address
2210 JACKSON ST, ANDERSON, IN 46016-4363
(765) 683-3118
Mailing address
10330 N MERIDIAN ST # 300, INDIANAPOLIS, IN 46290-1024

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34000811
IN
106H00000X
Marriage & Family Therapist
35000373
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000245990
ANTHEM PIN NUMBER
05
100080200
IN
Enumeration date
07/05/2006
Last updated
04/06/2018
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