Individual
ASHAWNTE KEYSHAUNA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9441 COMMON ST STE B, BATON ROUGE, LA 70809-1463
(225) 923-3733
(225) 923-3735
Mailing address
9441 COMMON ST STE B, BATON ROUGE, LA 70809-1463
(225) 923-3733
(225) 923-3735
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600964601
—
LA
Enumeration date
06/17/2019
Last updated
06/17/2019
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