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1083138895
ROOSEVELT WILLIAMS
COLUMBUS, OH
NPI
1083138895
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-08-02
Last Update Date
2017-08-02
Business Address
Mr. ROOSEVELT WILLIAMS
1791 ALUM CREEK DR
COLUMBUS, OH 43207-1708
Phone number: 614-445-8131
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Mailing Address
Mr. ROOSEVELT WILLIAMS
261 CHATTERLY LN
COLUMBUS, OH 43207-5351
Phone number:
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