Individual
MRS. STACY J WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9001 SUMMA AVE, BATON ROUGE, LA 70809-3726
(225) 761-5200
(225) 761-5369
Mailing address
9001 SUMMA AVE, BATON ROUGE, LA 70809-3726
(225) 761-5200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4937
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1474959
—
LA
Enumeration date
07/25/2006
Last updated
12/13/2007
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