Individual
MR. DEMARCUS LAVELLE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
815 FORWARD, MADISON, WI 53711
(608) 268-6530
(608) 709-1744
Mailing address
815 FORWARD, MADISON, WI 53711
(608) 268-6530
(608) 709-1744
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/03/2021
Last updated
12/29/2021
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