Individual
DANIELLE WILLIAMS-OMORUYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
3933 RASCO HILLS DR, SOUTHAVEN, MS 38671-6403
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6818
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3435
HAVE NOT RECEIVED MEDICAID NUMBER AS OF YET
—
Enumeration date
01/22/2020
Last updated
01/16/2025
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