Individual
SHAKEEMA LATORIA WILLIAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1128 TYNES ST, DILLON, SC 29536-4731
(843) 506-5191
Mailing address
PO BOX 106, DILLON, SC 29536-0106
(843) 506-5191
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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