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Individual

MRS. LATELDRIN DENISE WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW, CSW

Contact information

Practice address
128 TRILLIUM CT, CLARKSVILLE, TN 37043-2148
(859) 379-8195
Mailing address
99 MICHIGAN AVE STE 335, FORT CAMPBELL, KY 42223-5614
(573) 673-8434

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
10772
TN
104100000X
Social Worker
256167
KY
1041C0700X
Clinical Social Worker
Primary
256167
KY

Other

Enumeration date
09/22/2021
Last updated
09/09/2024
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