Individual
ELIZABETH RAE SUSANNE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
608 3RD ST W, POLSON, MT 59860-2617
(406) 202-3685
Mailing address
608 3RD ST W, POLSON, MT 59860-2617
(406) 202-3685
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
227141
MA
Other
Enumeration date
07/12/2015
Last updated
07/12/2015
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