Individual
JOLETHA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 MCDONALD ST, WAYCROSS, GA 31503-4704
(912) 283-8587
Mailing address
601 MCDONALD ST, WAYCROSS, GA 31503-4704
(912) 283-8587
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
GA
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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