Individual
LATRESHA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
233 12TH ST, SUITE 911-A, COLUMBUS, GA 31901-2462
(706) 718-0011
Mailing address
233 12TH ST, SUITE 911-A, COLUMBUS, GA 31901-2462
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003160216A
—
GA
Enumeration date
07/31/2015
Last updated
07/31/2015
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