Individual
MRS. BONITA WASHINGTON WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W.,LCSW
Contact information
Practice address
113 ALFRED ST, LAFAYETTE, LA 70501-3501
(337) 298-9204
Mailing address
113 ALFRED ST, LAFAYETTE, LA 70501-3501
(337) 298-9204
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3530
LA
Other
Enumeration date
12/20/2012
Last updated
12/20/2012
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