Individual
DEMETRICA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
436 N MAIN ST, MADISONVILLE, KY 42431-1553
(270) 821-0632
(270) 821-0844
Mailing address
PO BOX 614, HOPKINSVILLE, KY 42241-0614
(270) 886-2205
(270) 886-0392
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/24/2016
Last updated
03/24/2016
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