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Individual

JALEESA WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
801 N PIKE W, SUMTER, SC 29153-1906
(803) 775-9364
Mailing address
3613 MOSELEY DR, SUMTER, SC 29154-7602
(404) 916-5986

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
07/19/2022
Last updated
07/19/2022
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