Individual
MR. SCOTT EDWARD WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
101 DAYSPRING DR, COLUMBIA, MO 65203-0285
(573) 445-1140
(573) 445-8564
Mailing address
101 DAYSPRING DR, COLUMBIA, MO 65203-0285
(573) 445-1140
(573) 445-8564
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
856169909
—
MO
Enumeration date
07/01/2008
Last updated
07/01/2008
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