Individual
TAWNY RENEE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSSMSW
Contact information
Practice address
409 BRIARWOOD DR STE 302, JACKSON, MS 39206-3033
(769) 572-4389
(769) 572-4391
Mailing address
409 BRIARWOOD DR STE 302, JACKSON, MS 39206-3033
(769) 572-4389
(769) 572-4391
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000
—
MS
Enumeration date
12/12/2019
Last updated
12/12/2019
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