Individual
MS. LAKISHA K WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11529 200TH ST, SAINT ALBANS, NY 11412-2832
(646) 302-5017
Mailing address
11529 200TH ST, SAINT ALBANS, NY 11412-2832
(646) 302-5017
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/06/2010
Last updated
04/06/2010
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