Individual
AMANDA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
5122 9TH AVE S, FARGO, ND 58103-7240
(701) 639-3295
Mailing address
5122 9TH AVE S, FARGO, ND 58103-7240
(701) 639-3295
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
05/02/2023
Last updated
10/15/2024
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