Malisa Williams, LCSW

NPI #1184011124 in Eagle, Idaho

Provider Information

NPI Number: 1184011124
Entity Type: Individual
Name: Malisa Williams, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Apr 16, 2015
Last Updated: Jan 29, 2021

Practice Location

Address: 1281 E IRON EAGLE DR
City: Eagle
State: Idaho
ZIP Code: 83616-6599
Phone: (208) 912-4011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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