Individual
JENELL TIORA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
79 W ALEXANDRINE ST, DETROIT, MI 48201-2015
(313) 831-5535
Mailing address
79 W ALEXANDRINE ST, DETROIT, MI 48201-2015
(313) 831-5535
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396412003
—
MI
Enumeration date
08/30/2021
Last updated
11/22/2022
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