Individual
CARLOS WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4696 W OVERLAND RD STE 252, BOISE, ID 83705-2877
(208) 724-7947
Mailing address
4696 W OVERLAND RD STE 252, BOISE, ID 83705-2877
(208) 724-7947
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Enumeration date
09/18/2013
Last updated
06/10/2015
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