Individual
GRISELDA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3515 BROADWAY ST, KANSAS CITY, MO 64111-2537
(816) 777-2702
Mailing address
3515 BROADWAY ST, KANSAS CITY, MO 64111-2537
(816) 777-2702
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2002008114
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2002008114
CLINICAL SOCIAL WORKER LICENSE
MO
Enumeration date
05/08/2013
Last updated
05/08/2013
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