Individual
DR. MAURICE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
754 WINGFIELD ST, JACKSON, MS 39209-7130
(601) 353-5861
(601) 353-5893
Mailing address
754 WINGFIELD ST, JACKSON, MS 39209-7130
(601) 353-5861
(601) 353-5893
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
34561
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00118672
—
MS
Enumeration date
05/16/2006
Last updated
07/08/2007
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