Individual
MRS. WANDA CARRAWAY-WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSS
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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