Individual
MARY WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
INDEPENDENT
Contact information
Practice address
5635 MAIN ST STE A, ZACHARY, LA 70791-4083
(225) 489-9248
Mailing address
5635 MAIN ST STE A, ZACHARY, LA 70791-4083
(225) 489-9248
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
171W00000X
Contractor
Primary
—
—
172A00000X
Driver
—
—
174200000X
Meals Provider
—
—
176P00000X
Funeral Director
—
—
253Z00000X
In Home Supportive Care Agency
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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