Individual
MS. FAE L WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, SAC
Contact information
Practice address
10045 W LISBON AVE, WAUWATOSA, WI 53222-2446
(414) 358-7999
(414) 358-7158
Mailing address
10045 W LISBON AVE, WAUWATOSA, WI 53222-2446
(414) 358-7999
(414) 358-7158
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1324-132
WI
1041C0700X
Clinical Social Worker
Primary
1935-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39338800
—
WI
Enumeration date
06/09/2008
Last updated
06/09/2008
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