Individual
JEREMY WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4455 CORDATA PKWY, BELLINGHAM, WA 98226-8037
(360) 734-5458
(360) 734-5298
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
22292
CA
1041C0700X
Clinical Social Worker
Primary
LW00008483
WA
Other
Enumeration date
09/15/2006
Last updated
01/25/2008
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