Individual
SIDDEEQAH A WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 WILLOW ST, LYNN, MA 01901-1139
(781) 691-7060
(781) 691-7064
Mailing address
100 WILLOW ST, LYNN, MA 01901-1139
(781) 691-7060
(781) 691-7064
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
17100000X
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171M00000X
CASE MANAGER /CARE COORDINATOR
MA
Enumeration date
03/21/2017
Last updated
03/27/2017
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