Individual
MRS. JACQUELINE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10000 N 31ST AVE, SUITE C218, PHOENIX, AZ 85051-9582
(602) 441-2388
(800) 881-7511
Mailing address
PO BOX 1781, SUN CITY, AZ 85372-1781
(949) 636-3691
(800) 881-7511
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LCS18556
CA
1041C0700X
Clinical Social Worker
Primary
LCSW-1650
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCS18556
LCSW
CA
Enumeration date
10/11/2006
Last updated
04/06/2017
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