Individual
SHANISE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 IRONSIDE DR APT 415, SUFFOLK, VA 23435-3887
(224) 422-8877
Mailing address
3105 CAYMON CT, CHESAPEAKE, VA 23321-2444
(305) 432-0679
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/09/2023
Last updated
03/20/2024
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