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Individual

EA WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
1834 S ASHLAND AVE, CHICAGO, IL 60608-3697
(312) 624-8396
Mailing address
700 N RANDOLPH ST, GARY, IN 46403-2257

Taxonomy

Speciality
Code
Description
License number
State
173C00000X
Reflexologist
175M00000X
Lay Midwife
225600000X
Dance Therapist
225700000X
Massage Therapist
Primary
227009082
IL

Other

Enumeration date
09/16/2008
Last updated
03/15/2010
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