Individual
FREDRICKA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
920 S MAIN ST, HAVANA, FL 32333-2227
(850) 901-7823
Mailing address
920 S MAIN ST, HAVANA, FL 32333-2227
(850) 901-7823
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
11/08/2018
Last updated
11/08/2018
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