Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | 34001391A | IN |
NPI | 1003039967 |
---|---|
Provider Name | Mrs. Francette Magee Williams |
First Address | Merrillville, IN 46410-2969 |
Second Address | Merrillville, IN 46410-2969 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2007 |
Last Update Date | 08/07/2007 |