Individual
MISS MOLLIE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., L.P.C.
Contact information
Practice address
717B HIGHWAY 70 E, KINGSTON, OK 73439-8253
(580) 564-7308
Mailing address
717B HIGHWAY 70 E, KINGSTON, OK 73439-8253
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100746580A
—
OK
Enumeration date
01/19/2010
Last updated
06/03/2016
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