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Individual

ANNELL WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ADVANCED CASAC

Contact information

Practice address
3114 30TH AVE, ASTORIA, NY 11102-1595
(718) 204-1200
Mailing address
3114 30TH AVE, ASTORIA, NY 11102-1595

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
31734
NY

Other

Enumeration date
02/19/2021
Last updated
02/19/2021
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