Individual
MICHELLE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6575 KIRKVILLE RD, EAST SYRACUSE, NY 13057-9809
(315) 701-5710
(315) 701-5711
Mailing address
6575 KIRKVILLE RD, EAST SYRACUSE, NY 13057-9809
(315) 701-5710
(315) 701-5711
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
875385
NY
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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