Individual
CLATOSSICA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1230 LAKE CHARLES AVE, CHESTERTON, IN 46304-9758
(219) 210-1790
Mailing address
1230 LAKE CHARLES AVE, CHESTERTON, IN 46304-9758
(219) 210-1790
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
IN
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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