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Individual

DAKOTA WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
KPSS

Contact information

Practice address
125 N CROSS MAIN ST, LOUISA, KY 41230
(606) 638-0938
Mailing address
1002 PATRICK RD, WEST LIBERTY, KY 41472-7800
(606) 359-1337

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
KY

Other

Enumeration date
11/23/2016
Last updated
11/23/2016
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