Individual
SAVANNAH ALYSSE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
2340 W POZO RD, SANTA MARGARITA, CA 93453-9620
(805) 610-0390
Mailing address
2340 W POZO RD, SANTA MARGARITA, CA 93453-9620
(805) 610-0390
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
36870
CA
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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