Individual
ANTONIO WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
79 W ALEXANDRINE ST, DETROIT, MI 48201-2015
(313) 831-5520
Mailing address
79 W ALEXANDRINE ST, DETROIT, MI 48201-2015
(313) 831-5520
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/17/2016
Last updated
03/17/2016
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