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Individual

MICHELLE WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
105 BERTHA RD STE B, TAOS, NM 87571-7148
(575) 758-4297
Mailing address
PO BOX 2940, TAOS, NM 87571-2940

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWB-2024-0209
NM
175T00000X
Peer Specialist

Other

Enumeration date
08/18/2022
Last updated
04/09/2024
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