Individual
LARISSA NICHELLE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
163 WILLOW RD, MATTESON, IL 60443-1066
(708) 663-3595
Mailing address
163 WILLOW RD, MATTESON, IL 60443-1066
(708) 663-3595
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
IL
Other
Enumeration date
12/11/2024
Last updated
12/17/2024
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