Individual
MARVIN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1425 BLUEGRASS AVE, LOUISVILLE, KY 40215-1203
(502) 363-2240
Mailing address
1425 BLUEGRASS AVE, LOUISVILLE, KY 40215-1203
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/26/2014
Last updated
03/26/2014
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