Individual
LEO WILLIAMS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1500 WOODROW WILSON, JACKSON, MS 39216
(601) 362-4471
Mailing address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
M8459
MS
1041C0700X
Clinical Social Worker
Primary
C8459
MS
Other
Enumeration date
03/18/2015
Last updated
10/17/2018
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