Individual
TAWANNA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
413 W TYLER AVE, WEST MEMPHIS, AR 72301-4149
(870) 733-1200
Mailing address
413 W TYLER AVE, WEST MEMPHIS, AR 72301-4149
(870) 733-1200
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
03/31/2014
Last updated
02/26/2020
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