Individual
RONNETTA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
400 N STATE ROAD 19 STE 48, PALATKA, FL 32177-2449
(352) 281-9574
Mailing address
400 N STATE ROAD 19 STE 48, PALATKA, FL 32177-2449
(352) 281-9574
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.009093
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071.009093
PROFESSIONAL LICENSE NUMBER
IL
Enumeration date
05/24/2012
Last updated
10/06/2021
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