Individual
MS. KINETA L WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
5329 BLACKSTONE LN, NORTHPORT, AL 35473-1143
(985) 705-2991
Mailing address
5329 BLACKSTONE LN, NORTHPORT, AL 35473-1143
(985) 705-2991
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3832C
AL
Other
Enumeration date
03/13/2021
Last updated
03/13/2021
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