Individual
PRUDENCE CLARKE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
1536 N JEFFERSON ST, JACKSONVILLE, FL 32209-6525
(904) 553-3502
Mailing address
12127 CRANEFOOT DR, JACKSONVILLE, FL 32223-4826
(904) 553-3502
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
ISW484
FL
1041C0700X
Clinical Social Worker
SW9626
FL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
681935496
—
FL
Enumeration date
04/07/2009
Last updated
02/26/2024
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