Individual
MISS CAROL ANN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
4422 N PERSHING AVE, STOCKTON, CA 95207-6954
(209) 953-8843
(209) 953-8478
Mailing address
1532 DOUGLAS RD, STOCKTON, CA 95207-4113
(209) 951-3185
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT29591
CA
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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