Individual
PROMISE AZURE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6210 75TH ST W STE B100, LAKEWOOD, WA 98499-8109
(253) 345-5720
Mailing address
1406 S MILDRED ST APT 905, TACOMA, WA 98465-1918
(509) 654-0099
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
CB61159053
WA
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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