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Individual

MARK E WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
32 EVANS RIDGE RD # 2, WINDHAM, ME 04062-4654
(207) 572-2662
Mailing address
32 EVANS RIDGE RD, WINDHAM, ME 04062-4654
(732) 572-2662

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC00061300
NJ
1041C0700X
Clinical Social Worker
Primary
LC14750
ME

Other

Enumeration date
11/02/2006
Last updated
03/15/2022
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