Individual
DR. JACK D WILLIAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5126 80TH ST SW, LAKEWOOD, WA 98499-4049
(253) 476-1234
Mailing address
5126 80TH ST SW, LAKEWOOD, WA 98499-4049
(253) 476-1234
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00006358
WA
Other
Enumeration date
04/28/2009
Last updated
04/28/2009
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