Individual
WANDA LISAM WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S
Contact information
Practice address
1617 GREGG AVE APT B, FLORENCE, SC 29501-3107
(843) 206-6115
Mailing address
1617 GREGG AVE APT B, FLORENCE, SC 29501-3107
(843) 206-6115
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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