Individual
MS. JACQUELINE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
6379 DIXIE HWY, BRIDGEPORT, MI 48722-9566
(989) 777-4357
(989) 777-7257
Mailing address
6379 DIXIE HWY, BRIDGEPORT, MI 48722-9566
(989) 777-4357
(989) 777-7257
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
PENDING
MI
Other
Enumeration date
11/21/2007
Last updated
11/21/2007
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