Individual
LATOYA MICHELLE WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
66 HURLBUT ST, PASADENA, CA 91105-4025
(626) 441-4221
Mailing address
66 HURLBUT ST, PASADENA, CA 91105-4025
(626) 441-4221
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
34508
CA
Other
Enumeration date
05/10/2018
Last updated
02/14/2019
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