Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 33006459A | IN |
NPI | 1003150582 |
---|---|
Provider Name | Ms. Cara L Williams |
First Address | Jasper, IN 47547-0769 |
Second Address | Paoli, IN 47454-8807 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2012 |
Last Update Date | 21/11/2012 |