Healthcare Provider Details

I. General information

NPI: 1235443110
Provider Name (Legal Business Name): MENAH D'ON WILLIAMS MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MENAH D'ON MOSES MSW

II. Dates (important events)

Enumeration Date: 08/03/2010
Last Update Date: 08/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

448 36TH AVE NW
NORMAN OK
73072-4746
US

IV. Provider business mailing address

448 36TH AVE NW
NORMAN OK
73072-4746
US

V. Phone/Fax

Practice location:
  • Phone: 405-573-9905
  • Fax: 405-844-0729
Mailing address:
  • Phone: 405-573-9905
  • Fax: 405-844-0729

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: