Doctor Name: | STEPHANNIE RAYE WILLIAMS |
NPI Number: | 1225288541 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CM |
License Number: | |
Business Practice Address: | 2035 Saint John Ave Dyersburg, TN - 380242209 |
Business Phone Number: | 7315418344 |
Business Fax Number: | 7319358327 |
Mailing Address: | 238 Summar Dr, JACKSON |
State: | TN |
Postal Code: | 383013906 |
Phone Number: | 7315418344 |
Fax Number: | 7319358327 |
NPI Enumeration Date: | 09/23/2008 |
NPI Last Update Date: | 04/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |