William Thomas Church, CADC INTERN
NPI #1053759712 in Carson City, Nevada
Provider Information
- NPI Number
- 1053759712
- Entity Type
- Individual
- Name
- William Thomas Church, CADC INTERN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Credential
- CADC INTERN
- Enumeration Date
- Jun 4, 2013
- Last Updated
- Jun 19, 2013
Practice Location
- Address
- 205 S PRATT AVE
- City
- Carson City
- State
- Nevada
- ZIP Code
- 89701-4730
- Phone
- (775) 882-3945
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
| Rehabilitation Practitioner |
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