Individual
MS. STEPHANIE M WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 WHIRLWIND DR, PENDLETON, OR 97801-6015
(541) 215-2720
Mailing address
4 WHIRLWIND DR, PENDLETON, OR 97801-6015
(541) 215-2720
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
THW000106358
OR
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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