Individual
MS. IVANIQUE DIANE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29200 NORTHWESTERN HWY, SOUTHFIELD, MI 48034-1013
(313) 579-8024
Mailing address
2405 TORQUAY AVE APT 103, ROYAL OAK, MI 48073-1125
(313) 579-8024
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/25/2026
Last updated
04/25/2026
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