Individual
JESSICA ANTOINETTE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1705 ANNE ST NW, BEMIDJI, MN 56601-6151
(218) 751-3280
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
32014
MN
1041C0700X
Clinical Social Worker
CSW008349
GA
Other
Enumeration date
02/25/2010
Last updated
05/03/2024
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