Individual
MR. PAUL A WILLIAMS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, LMFT
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
Update your record
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