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Individual

MRS. LISA MARIE WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPCA

Contact information

Practice address
1343 S MAIN ST, BURLINGTON, NC 27215-5768
(336) 264-2073
Mailing address
3824 FRIENDSHIP PATTERSON MILL RD, BURLINGTON, NC 27215-9140
(336) 264-2073

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A14035
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14278649
CAQH
Enumeration date
07/08/2018
Last updated
07/08/2018
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