Individual
JEFF WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6100 MOORE LAKE DR W, FRIDLEY, MN 55432-5602
(763) 502-5410
Mailing address
6100 MOORE LAKE DR W, FRIDLEY, MN 55432-5602
(763) 502-5410
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
490305
MN
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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