Individual
JOCELYN L WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1312 WINGFIELD WAY, BOLINGBROOK, IL 60490-4528
(773) 876-9897
Mailing address
1312 WINGFIELD WAY, BOLINGBROOK, IL 60490-4528
(773) 876-9897
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170671812
—
IL
Enumeration date
12/10/2020
Last updated
12/10/2020
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