Individual
DR. JEREMIAH WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
850 TIDEWATER DR, SUITE A, NORFOLK, VA 23504-3300
(757) 663-7503
(757) 533-9634
Mailing address
850 TIDEWATER DR, SUITE A, NORFOLK, VA 23504-3300
(757) 663-7503
(757) 533-9634
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904002584
VA
Other
Enumeration date
09/18/2008
Last updated
09/18/2008
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