Individual
ERICA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3118 TEAK AVE, LUBBOCK, TX 79404-2034
(806) 445-5529
Mailing address
11419 LUCKEY LEDGE, SAN ANTONIO, TX 78252-2316
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/26/2015
Last updated
10/29/2015
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