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Individual

MS. TEDRA N WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NCC, LPC

Contact information

Practice address
5710 4TH ST NW, WASHINGTON, DC 20011-2129
(202) 560-5528
Mailing address
5710 4TH ST NW, WASHINGTON, DC 20011-2129

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
PRC14077
DC
101YM0800X
Mental Health Counselor
PRC14077
DC
101YP2500X
Professional Counselor
Primary
PRC14077
DC

Other

Enumeration date
02/23/2010
Last updated
02/23/2010
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