Individual
ANGELIQUE MARIE WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CM
Contact information
Practice address
600 NW 23RD ST, STE 209, OKLAHOMA CITY, OK 73103-1469
(405) 227-9681
(405) 227-9081
Mailing address
600 NW 23RD ST, STE 209, OKLAHOMA CITY, OK 73103-1469
(405) 227-9681
(405) 227-9081
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
23176
OK
225400000X
Rehabilitation Practitioner
Primary
4873470
OK
Other
Enumeration date
09/13/2011
Last updated
05/03/2013
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