Individual
JENNIFER LYNN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
5301 SNEAD ST, GULFPORT, MS 39501-9018
(508) 728-1391
Mailing address
4037A MALLARD CV, GULFPORT, MS 39501-2833
(508) 728-1391
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20597
MD
Other
Enumeration date
11/27/2017
Last updated
03/17/2018
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