Individual
RONALD WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
425 BROADWAY ST, PADUCAH, KY 42001-0713
(270) 442-7121
Mailing address
425 BROADWAY, PADUCAH, KY 42001
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34007961A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124980010
MEDICARE
IN
Enumeration date
12/19/2006
Last updated
12/13/2017
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