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Individual

MR. ANTHONY WADE WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2251 PALM AVE, SAN MATEO, CA 94403-1814
(650) 513-6500
Mailing address
1104 PINCHOT ST, STOCKTON, CA 95205-3637

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1584321024
CA

Other

Enumeration date
11/11/2024
Last updated
11/11/2024
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