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Individual

CASONYA WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
607 J W DAVIS DR, HAMMOND, LA 70403
(985) 351-4501
Mailing address
607 J W DAVIS DR, HAMMOND, LA 70403-3941
(985) 351-4501

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
171M00000X
Case Manager/Care Coordinator
Primary
LA
171M00000X
Case Manager/Care Coordinator

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1861875379
LA
Enumeration date
07/01/2015
Last updated
08/01/2018
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