Individual
MRS. KYSHIA RENAE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
4251 UNIVERSITY BLVD S STE 403, JACKSONVILLE, FL 32216-4986
(904) 828-4003
(904) 828-4395
Mailing address
4251 UNIVERSITY BLVD S STE 403, JACKSONVILLE, FL 32216-4986
(904) 828-4003
(904) 828-4395
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003404400
—
FL
Enumeration date
10/26/2009
Last updated
11/23/2011
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