Individual
EMILY AMANDA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
167 MAIN ST, SOUTHINGTON, CT 06489-2505
(860) 426-0252
(860) 426-0458
Mailing address
11 INTERLAKEN RD, LAKEVILLE, CT 06039-2141
(860) 280-8763
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4517
CT
Other
Enumeration date
07/18/2019
Last updated
02/03/2022
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