Individual
MISS CAROLYN FAYE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
330 SHILOH DR, PENSACOLA, FL 32503-7712
(850) 313-9548
Mailing address
330 SHILOH DR, PENSACOLA, FL 32503-7712
(850) 313-9548
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
222Q00000X
Developmental Therapist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
01/13/2018
Last updated
02/09/2018
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