Individual
LETISHA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
922 CHIMNEY ROCK PL, SHREVEPORT, LA 71108-5904
(318) 834-5036
Mailing address
922 CHIMNEY ROCK PL, SHREVEPORT, LA 71108-5904
(318) 834-5036
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
006095213
LA
Other
Enumeration date
04/04/2016
Last updated
01/31/2022
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