Doctor Name: | MRS. KATHLEEN ANN WILLIAMS |
NPI Number: | 1407096415 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 352-C |
Business Practice Address: | 4 East Cherokee Village Mall Cherokee Village, AR - 72525 |
Business Phone Number: | 8702573336 |
Business Fax Number: | 8702573339 |
Mailing Address: | P.o. Box 176, CHEROKEE VILLAGE |
State: | AR |
Postal Code: | 72525 |
Phone Number: | 8702573336 |
Fax Number: | 8702573339 |
NPI Enumeration Date: | 03/03/2009 |
NPI Last Update Date: | 04/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 352-C |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |