Individual
BEVERLY LARAINE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1055 N 500 W BLDG A, PROVO, UT 84604-3305
(801) 354-8225
Mailing address
1055 N 500 W, PROVO, UT 84604-3305
(801) 354-8225
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/19/2020
Last updated
02/01/2021
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