Individual
MS. TIFFANY KNESHA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
1105 ISLAND PARK BLVD APT 1130, SHREVEPORT, LA 71105-4784
(318) 655-1856
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13311
LA
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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