Individual
MRS. STACY MAE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 LANGLADE ROAD, ANTIGO, WI 54409
(715) 627-4383
Mailing address
1810 N 2ND STREET, WAUSAU, WI 54403
(715) 848-4884
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10137-16
WI
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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