Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | C009215 | NC |
N | 1041C0700X | Clinical Social Worker | P0065555 | NC |
NPI | 1003165200 |
---|---|
Provider Name | Yvette C Williams |
First Address | Gastonia, NC 28054-2192 |
Second Address | Gastonia, NC 28054-2192 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/09/2012 |
Last Update Date | 20/02/2017 |