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Individual

MARISA WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
201 E JEFFERSON ST, LOUISVILLE, KY 40202-1246
(502) 569-2058
Mailing address
5213 KILMER BLVD, LOUISVILLE, KY 40213-3021

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
01/31/2014
Last updated
01/31/2014
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