Individual
JACQUELYN DENEEN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 N ABBEY RD, URBANA, IL 61802-2284
(217) 621-1395
Mailing address
501 N ABBEY RD, URBANA, IL 61802-2284
(217) 621-1395
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
940042679-04
HMO
IL
Enumeration date
01/12/2009
Last updated
01/12/2009
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