Individual
KEISHA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9040 JACKSON AVE, FORT LEWIS, WA 98433
(253) 968-3990
Mailing address
9040 JACKSON AVENUE, FORT LEWIS, WA 98433
(253) 968-3990
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2013041386
MO
1041C0700X
Clinical Social Worker
Primary
SC60535760
WA
Other
Enumeration date
01/27/2014
Last updated
02/26/2019
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