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Individual

KHARA R WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW LCSW

Contact information

Practice address
1 NORTH BARKER AVENUE, EVANSVILLE, IN 47712-5601
(812) 423-4418
(812) 422-7558
Mailing address
415 MULBERRY STREET, EVANSVILLE, IN 47713-1230
(812) 423-7791
(812) 422-7558

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005836A
IN
1041C0700X
Clinical Social Worker

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000638924
ANTHEM
IN
05
100240880
IN
Enumeration date
05/09/2008
Last updated
04/21/2010
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