Individual
CARLA DEANNA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11558 FREMANTLE DR, CINCINNATI, OH 45240-2636
(513) 405-4674
Mailing address
11558 FREMANTLE DR, CINCINNATI, OH 45240-2636
(513) 405-4674
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
OH
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
22287064
OH
405300000X
Prevention Professional
3058628
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3124812
—
OH
Enumeration date
12/16/2022
Last updated
12/16/2022
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