Individual
GAISHA LATRICE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
3750 W 150TH PLACE, CROWN POINT, IN 46307-5336
(219) 730-1943
(219) 696-6183
Mailing address
3750 W 150TH PLACE, CROWN POINT, IN 46307-5336
(219) 730-1943
(219) 696-6183
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IN
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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