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Individual

MISS LYNEISE MARIE WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
B.S.

Contact information

Practice address
533 OWENDALE DR, ANTIOCH, TN 37013-1326
(330) 770-5859
Mailing address
533 OWENDALE DR, ANTIOCH, TN 37013-1326

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
08/26/2010
Last updated
08/26/2010
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