Individual
LATISHA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 W 4TH ST, ADA, OK 74820-3411
(580) 257-2444
Mailing address
301 W 4TH ST, ADA, OK 74820-3411
(580) 257-2444
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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