Individual
MISS JADA TIERRA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 ERWIN ROAD N/A, DURHAM, NC 27710-4699
(919) 684-8111
Mailing address
1221 POPLAR CREST DR APT 301, KNIGHTDALE, NC 27545-5935
(805) 757-9101
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3000910
NC
Other
Enumeration date
06/14/2022
Last updated
07/26/2022
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