NPI 1003323080

Roosevelt V Williams, CDCA

Practitioner Case Manager/Care Coordinator Toledo, OH

Practice location

Address: 3222 W Central Ave, Toledo, OH 43606-2929
Phone: (567) 316-7253

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X Licence CDCA.160191 (OH)

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Registry record

NPI: 1003323080
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Dec 2017
Record last updated: 29 Dec 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.