Individual
BEVERLY WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
9729 64TH RD, REGO PARK, NY 11374-2240
(718) 896-3400
(718) 459-5621
Mailing address
11414 157TH ST, JAMAICA, NY 11434-1143
(212) 543-1588
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
070097
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00244019
—
NY
Enumeration date
08/06/2008
Last updated
08/06/2008
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