Individual
MRS. TREVIS WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
126 ANNA ST, SLIDELL, LA 70458-6011
(985) 503-4592
Mailing address
126 ANNA ST, SLIDELL, LA 70458-6011
(985) 503-4592
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
B082688
LA
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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