Organization
D WILLIAMS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEONNE MARIE WILLIAMS LICSW (PRESIDENT CEO)
(218) 252-8821
Entity
Organization
Contact information
Practice address
522 BELTRAMI AVE NW, SUITE 116, BEMIDJI, MN 56601-3001
(218) 252-8821
Mailing address
522 BELTRAMI AVE NW, SUITE 116, BEMIDJI, MN 56601-3001
(218) 252-8821
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
19439
MN
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
19439
MN
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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