Provider Demographics
NPI:1235443110
Name:WILLIAMS, MENAH D'ON (MSW)
Entity Type:Individual
Prefix:
First Name:MENAH
Middle Name:D'ON
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:MENAH
Other - Middle Name:D'ON
Other - Last Name:MOSES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:448 36TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-4746
Mailing Address - Country:US
Mailing Address - Phone:405-573-9905
Mailing Address - Fax:405-844-0729
Practice Address - Street 1:448 36TH AVE NW
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-4746
Practice Address - Country:US
Practice Address - Phone:405-573-9905
Practice Address - Fax:405-844-0729
Is Sole Proprietor?:No
Enumeration Date:2010-08-03
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical