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Individual

MARY M WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
152 NORTH AVE, WAUCONDA, IL 60084-1874
(847) 927-8879
Mailing address
152 NORTH AVE, WAUCONDA, IL 60084-1874
(847) 927-8879

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.004758
IL

Other

Enumeration date
08/08/2017
Last updated
07/21/2022
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