Doctor Name: | AUDREY JEAN WILLIAMS |
NPI Number: | 1104130517 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | SW9915 |
Business Practice Address: | 1700 Education Ave Punta Gorda, FL - 339506222 |
Business Phone Number: | 9416398300 |
Business Fax Number: | 9413476493 |
Mailing Address: | 1700 Education Ave, PUNTA GORDA |
State: | FL |
Postal Code: | 339506222 |
Phone Number: | 9416398300 |
Fax Number: | 9413476493 |
NPI Enumeration Date: | 07/28/2010 |
NPI Last Update Date: | 07/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | SW9915 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |