Individual
MRS. JOANE CAMILLE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.,CCC-SLP
Contact information
Practice address
1950 RIDGEDALE RD, SOUTH BEND, IN 46614-2243
(574) 707-3970
Mailing address
1950 RIDGEDALE RD, SOUTH BEND, IN 46614-2243
(574) 707-3970
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
22003267A
IN
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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