MEDICARE: ZULMA BEATRIZ WILLIAMS LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	8191-C	NV

General Provider Information

NPI Number	:	1740585769
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZULMA BEATRIZ WILLIAMS LCSW

Provider Business Mailing Address
First Line	:	627 EVERGREEN ST
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89002-8303
Country	:	US
Telephone Number	:	702-626-5110
Fax Number	:

Provider Business Practice Location Address
First Line	:	3041 W HORIZON RIDGE PKWY STE 140
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-4445
Country	:	US
Telephone Number	:	702-251-8000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2011
Last Update Date	:	01/21/2019

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