Individual
INEZ WILLIAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.A.R.F
Contact information
Practice address
13349 HIGHWAY 742 N, POLKTON, NC 28135-7727
(704) 690-0152
(704) 826-8737
Mailing address
3300 CAPPADOCIA CHURCH RD, POLKTON, NC 28135-9259
(704) 690-0152
(704) 594-4336
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
80923
NC
251S00000X
Community/Behavioral Health Agency
80923
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80923
COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES
NC
Enumeration date
03/30/2016
Last updated
06/15/2022
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