Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 252627 | KY |
NPI | 1003336736 |
---|---|
Provider Name | Leigh Ann Williams |
First Address | Paducah, KY 42001-0713 |
Second Address | Mayfield, KY 42066-6809 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2017 |
Last Update Date | 23/06/2017 |