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Individual

TAMILLE WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
29 N ACADEMY ST, GREENVILLE, SC 29601-2629
(864) 331-1400
Mailing address
395 FLAVORCREST DR APT 303, DUNCAN, SC 29334-2030
(678) 764-6080

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
6851
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1003866047
SC
Enumeration date
07/01/2020
Last updated
07/01/2020
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