Individual
IVORY DENZEL WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
324 NE 3RD ST APT B201, MERIDIAN, ID 83642-2768
(208) 791-6599
Mailing address
324 NE 3RD ST APT B201, MERIDIAN, ID 83642-2768
(208) 791-6599
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
KB158044B
ID
Other
Enumeration date
06/11/2026
Last updated
06/11/2026
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