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1194954123
TED WILLIAMS
STOCKTON, CA
NPI
1194954123
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-07-13
Last Update Date
2022-08-18
Business Address
TED WILLIAMS
8626 LOWER SACRAMENTO RD STE 41
STOCKTON, CA 95210-1835
Phone number: 209-456-5550
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Mailing Address
TED WILLIAMS
8626 LOWER SACRAMENTO RD STE 41
STOCKTON, CA 95210-1835
Phone number: 209-554-5188
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