Individual
MRS. ANGELA MAE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,CCC/SLP
Contact information
Practice address
77 MIZE BRANCH RD, MANCHESTER, KY 40962-6632
(606) 493-6957
Mailing address
PO BOX 1025, MC KEE, KY 40447-1025
(606) 493-6957
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
KY1845
KY
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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