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Individual

ASHLEY WILLIAMSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
10715 BROADWAY ST, INDIANAPOLIS, IN 46280-1059
(317) 938-8675
Mailing address
10715 BROADWAY ST, INDIANAPOLIS, IN 46280-1059

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
247200000X
Other Technician
251B00000X
Case Management Agency
253Z00000X
In Home Supportive Care Agency
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Other

Enumeration date
12/07/2017
Last updated
04/18/2018
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