Individual
MACY ELISE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1146 OLD CENTRAL RD APT 603, CENTRAL, SC 29630-4006
(864) 868-6346
Mailing address
219 OHKAHTEEAH RD, CENTRAL, SC 29630-9563
(864) 868-6346
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
SC
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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