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Individual

MARLENE C. WILLIAMS

Active
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Individual

MARLENE C. WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MT-BC

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
14559
PA
101YP2500X
Professional Counselor
14559
PA
225A00000X
Music Therapist
Primary
14559
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1017128200001
PA
Enumeration date
11/02/2007
Last updated
11/02/2007
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