Individual
TRACIE YVETTE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4032 BRENTWOOD ST, LAKE CHARLES, LA 70607-3608
(337) 794-3090
Mailing address
1618 MILL ST, LAKE CHARLES, LA 70601-3351
(337) 217-4300
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4172
LA
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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