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Individual

ASIYA WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NCPSS

Contact information

Practice address
8501 TOWER POINT DR STE B3839, CHARLOTTE, NC 28227-7849
(704) 639-3401
Mailing address
1711 STROUD PARK CT APT B, CHARLOTTE, NC 28206-3177
(910) 262-1247

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
231556
171400000X
Health & Wellness Coach
231556
171M00000X
Case Manager/Care Coordinator
19784977
NC
172A00000X
Driver
33024115
NC
172V00000X
Community Health Worker
NC
174200000X
Meals Provider
175T00000X
Peer Specialist
Primary
2021-8400-01
NC
251E00000X
Home Health Agency
HC6277
NC

Other

Enumeration date
01/16/2022
Last updated
01/16/2022
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