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1902028087
JERRY LEE WILLIAMS
LOS ANGELES, CA
NPI
1902028087
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-02
Last Update Date
2007-07-08
Business Address
Mr. JERRY LEE WILLIAMS
4041 MARLTON AVE SUITE 136
LOS ANGELES, CA 90008-2519
Phone number: 323-294-6400
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Mailing Address
Mr. JERRY LEE WILLIAMS
962 W 42ND PL
LOS ANGELES, CA 90037-2511
Phone number: 323-738-6172
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