Individual
DOMINIQUE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14 NE 13TH ST, OKLAHOMA CITY, OK 73104-1426
(405) 235-6471
Mailing address
14 NE 13TH ST, OKLAHOMA CITY, OK 73104-1426
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
—
—
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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