Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker |
NPI | 1003168154 |
---|---|
Provider Name | Rebecca L. Williams |
First Address | Mount Sterling, IL 62353-1561 |
Second Address | Pittsfield, IL 62363 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2012 |
Last Update Date | 12/10/2012 |