Individual
MR. CORY D WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1108 STERLINGTON HWY, FARMERVILLE, LA 71241-3812
(318) 368-9118
Mailing address
1108 STERLINGTON HWY, FARMERVILLE, LA 71241-3812
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871813717
—
LA
Enumeration date
03/19/2018
Last updated
06/16/2018
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