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Individual

MISS PAMELA LYNETTE WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RSW/CAC

Contact information

Practice address
1310 N HEARNE AVE, SHREVEPORT, LA 71107-6516
(318) 676-5111
(318) 676-5137
Mailing address
1310 N HEARNE AVE, SHREVEPORT, LA 71107-6516
(318) 676-5111
(318) 676-5137

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1606
LA
171M00000X
Case Manager/Care Coordinator
7726
LA

Other

Enumeration date
08/31/2006
Last updated
01/22/2021
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