Individual
REGINA WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1015 LANTON RD, WEST PLAINS, MO 65775-3854
(417) 256-2570
(417) 256-6497
Mailing address
1015 LANTON RD, WEST PLAINS, MO 65775-3854
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2005021298
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11825534
CAQH
—
01
—
2732
EAP IMPACT
—
01
—
431116734
EAP WELLPOINT
—
01
—
43111673465775B002
TRIWEST
—
Enumeration date
02/07/2008
Last updated
08/28/2008
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