Individual
CHARNELLE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
510 S EXTENSION RD, APT 2023, MESA, AZ 85210-2249
(928) 660-3157
Mailing address
510 S. EXTENSION ROAD, APT 2023, MESA, AZ 85210
(928) 660-3157
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA9606
AZ
Other
Enumeration date
10/13/2015
Last updated
10/13/2015
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