Individual
LATOYIA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 S PEORIA AVE, TULSA, OK 74120-3820
(918) 382-1275
Mailing address
550 S PEORIA AVE, TULSA, OK 74120-3820
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100732910
—
OK
Enumeration date
02/18/2016
Last updated
02/18/2016
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