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Individual

CHARLENE WILLIAMS

Active
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Individual

CHARLENE WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW-C

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09071
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
139705200
MD
01
2139990
MAMSI
MD
01
258461
KAISER
MD
01
273465
COMPSYCH
MD
01
60594504
CAREFIRST BCBS
MD
01
778678
AETNA
MD
01
825160-000
MAGELLAN
MD
01
T541-0063
CAREFIRST BCBS
MD
Enumeration date
07/24/2006
Last updated
05/13/2015
Update your record

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