Individual
LARRA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1814 CUMBERLAND AVE, MIDDLESBORO, KY 40965-1229
(606) 242-2519
Mailing address
1814 CUMBERLAND AVE, MIDDLESBORO, KY 40965-1229
(606) 242-2519
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
254541
KY
Other
Enumeration date
12/17/2013
Last updated
01/29/2020
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