Individual
JEREMY C WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
3734 N 170 E, CEDAR CITY, UT 84721-7318
(801) 573-4875
(801) 573-4875
Mailing address
3734 N 170 E, CEDAR CITY, UT 84721-7318
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6269986-3502
UT
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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