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1174716005
KEITH LEE WILLIAMS
BOISE, ID
NPI
1174716005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: ID PSY-202563)
Enumeration Date
2007-08-23
Last Update Date
2014-08-28
Business Address
-- KEITH LEE WILLIAMS Ph.D.
3771 N EAGLE RD
BOISE, ID 83713-5005
Phone number: 208-939-9917
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Mailing Address
-- KEITH LEE WILLIAMS Ph.D.
3771 N EAGLE RD
BOISE, ID 83713-5005
Phone number: 208-939-9917
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