Individual
ANNETTE IVINA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
1900 E NORTHERN PKWY STE T5, BALTIMORE, MD 21239-2120
(410) 645-1000
Mailing address
842 JANET DALE LN, SEVERN, MD 21144-2788
(443) 410-9723
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
17884
MD
1041C0700X
Clinical Social Worker
Primary
17884
MD
Other
Enumeration date
09/18/2018
Last updated
11/17/2024
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