Individual
KELLEY SHAUNTA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1180 OLD JACKSON RD, FARMINGTON, MO 63640-3428
(573) 760-1700
Mailing address
1180 OLD JACKSON RD, FARMINGTON, MO 63640-3428
(573) 760-1700
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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