Individual
JESSICA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
185 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1521
(336) 725-0222
(336) 725-0454
Mailing address
2922 OAK RIDGE RD, OAK RIDGE, NC 27310-8705
(704) 813-3041
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9280
NC
235Z00000X
Speech-Language Pathologist
SL10007
PA
Other
Enumeration date
07/15/2010
Last updated
11/18/2010
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