Individual
MS. SHIRLEY ANN WILLIAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8108 BLUE RIDGE BLVD, RAYTOWN, MO 64138-1552
(816) 612-1057
Mailing address
8108 BLUE RIDGE BLVD, KANSAS CITY, MO 64138
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
MO
Other
Enumeration date
04/18/2008
Last updated
04/19/2008
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