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Individual

SHIRLEY WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
1074 BEXHILL DR, LAWRENCEVILLE, GA 30043-6693
(646) 271-0617
Mailing address
1074 BEXHILL DR, LAWRENCEVILLE, GA 30043-6693

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
022059
NY
235Z00000X
Speech-Language Pathologist
Primary
SLP008260
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
022059
SLP
NY
Enumeration date
07/31/2012
Last updated
01/30/2023
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