Individual
MRS. DIANE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
217 JONES ST APT 510, SHREVEPORT, LA 71101
(318) 423-1367
(318) 606-2875
Mailing address
217 JONES STREET APT 510, SHREVEPORT, LA 71101-4066
(318) 423-1367
(318) 606-2875
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171MOOOOOX
—
LA
Enumeration date
08/04/2017
Last updated
06/19/2018
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