Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 44SC05343900 | NJ |
NPI | 1003061995 |
---|---|
Provider Name | Ms. Joyce Williams |
First Address | East Orange, NJ 07018-1808 |
Second Address | East Orange, NJ 07018-1808 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/11/2008 |
Last Update Date | 20/11/2008 |