Individual
DANEIL SUE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2130 HOBSON ROAD B212 B212, FORT WAYNE, IN 46805
(540) 970-5515
Mailing address
2130 HOBSON ROAD B212, FORT WAYNE, IN 46805
(540) 970-5515
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
IN
Other
Enumeration date
06/26/2023
Last updated
06/29/2023
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