Individual
MS. CHARLENE YVETTE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1061 HARMON AVE, SUITE 1DO3, FORT STEWART, GA 31314-5641
(912) 767-5265
(912) 767-5271
Mailing address
1061 HARMON AVE, SUITE 1DO3, FORT STEWART, GA 31314-5641
(912) 767-5265
(912) 767-5271
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW004536
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MSW004536
MASTER SOCIAL WORKER LICENSE NO GA COMPOSITE BOARD OF PC, SW, AND MFT
GA
Enumeration date
05/05/2010
Last updated
09/02/2010
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