Individual
THERESA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
906 THOMPSON ST, ASHLAND, VA 23005-1128
(804) 798-3291
Mailing address
5335 ROCKINGHAM DR, WILLIAMSBURG, VA 23188-8118
(757) 645-6176
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204000052
VA
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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