Individual
TYESIA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3655 CRESTVIEW DR, SHREVEPORT, LA 71119-6527
(318) 584-2938
Mailing address
3655 CRESTVIEW DR, SHREVEPORT, LA 71119-6527
(318) 584-2938
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/18/2017
Last updated
03/18/2017
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