Individual
SHAWNTAY WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
55 BOWEN ST, APT 203, STATEN ISLAND, NY 10304-3571
(718) 419-9055
Mailing address
55 BOWEN ST, APT 203, STATEN ISLAND, NY 10304-3571
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/12/2013
Last updated
04/12/2013
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