Individual
MRS. JILL T WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
1726 SHAWANO AVE, GREEN BAY, WI 54303-3216
(920) 884-3479
Mailing address
1223 SWAN CT, GREEN BAY, WI 54313-5854
(920) 562-2269
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2366
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42799800
—
WI
Enumeration date
01/29/2007
Last updated
02/20/2014
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