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Individual

NICKY LEE WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
1201 E HIGHWAY 22, CRESTWOOD, KY 40014-9788
(502) 222-8480
Mailing address
303 AXIS DR APT 206, LOUISVILLE, KY 40206-0095
(502) 817-4157

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
264275
KY
235Z00000X
Speech-Language Pathologist
SA20093
FL

Other

Enumeration date
09/13/2022
Last updated
09/13/2022
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