Individual
MRS. PRISICILLA ANN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLBSW
Contact information
Practice address
35425 W MICHIGAN AVE, WAYNE, MI 48184
(734) 722-4344
Mailing address
35425 W MICHIGAN AVE, WAYNE, MI 48184-9800
(734) 353-1501
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6802088678
MI
172V00000X
Community Health Worker
Primary
6802089266
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6802088678
BACHELOR'S SOCIAL WORKER LIMITED LICENSE
MI
Enumeration date
01/30/2017
Last updated
06/12/2018
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