Marilyn G. Williams | Memphis, TN • PECOS Search

Marilyn G. Williams

Social Worker

Behavioral Health & Social Service Providers

1325 Jefferson Ave, Memphis, TN 38104-2013

PECOS Enrollment

Based on the most recent information from CMS, provider Marilyn G. Williams does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1629265707
Provider Type
Individual
Full Name
Williams, Marilyn G.
Title
Ms.
Credential
MSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
10/2/2007
Last Updated
10/2/2007

Contact Information

Practice Location

1325 Jefferson Ave, Memphis, TN 38104-2013

Unlisted Fax

Mailing Location

1325 Jefferson Ave, Memphis, TN 38104-2013

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 0000000362 Tennessee