Individual
KIMBERLY WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3239 GUADALOUPE, GRAND PRAIRIE, TX 75054-6708
(682) 521-7428
Mailing address
3239 GUADALOUPE, GRAND PRAIRIE, TX 75054-6708
(682) 521-7428
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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