Individual
CAMILLE BROOKE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7607 FERN AVW, 403, SHREVEPORT, LA 71105-5699
(318) 284-8481
Mailing address
448 UNADILLA ST, SHREVEPORT, LA 71106-1238
(318) 210-8051
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/14/2020
Last updated
01/14/2020
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