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Individual

MR. MICHAEL WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.C.S.W.

Contact information

Practice address
760 HARVARD AVE, SAINT LOUIS, MO 63130-3134
(314) 303-2154
(314) 776-9073
Mailing address
760 HARVARD AVE, SAINT LOUIS, MO 63130-3134
(314) 726-5644

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
SW 002922
MO
1041C0700X
Clinical Social Worker
002922
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
493534515
MO
Enumeration date
12/12/2006
Last updated
09/29/2022
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