Individual
KORTNILYN X WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3025 W MITCHELL ST, MILWAUKEE, WI 53215-2118
(319) 519-3661
Mailing address
3025 W MITCHELL ST, MILWAUKEE, WI 53215-2118
(319) 519-3661
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WI
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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