Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 2363G | AL |
NPI | 1003075581 |
---|---|
Provider Name | Ms. Deborah Ann Williams |
First Address | Tuscaloosa, AL 35404-5015 |
Second Address | Tuscaloosa, AL 35405-7539 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2008 |
Last Update Date | 09/06/2008 |