Individual
ALICIA MICHELE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
634 N HIGHWAY 171, LAKE CHARLES, LA 70611-5348
(337) 855-2803
(337) 855-2824
Mailing address
4865 IHLES RD # 14, LAKE CHARLES, LA 70605-5900
(337) 602-6241
(337) 602-6655
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
PCA 15402
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1069868
—
LA
Enumeration date
01/25/2008
Last updated
01/23/2023
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