Individual
ALVIN T WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
803 BRISCO AVE, BASTROP, LA 71220-5161
(318) 974-6035
(318) 974-6035
Mailing address
803 BRISCO AVE, BASTROP, LA 71220-5161
(318) 974-6035
(318) 974-6035
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
BH0012507
LA
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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