Individual
LATICE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3707 E SOUTHERN AVE, MESA, AZ 85206-2569
(480) 823-0360
Mailing address
3707 E SOUTHERN AVE, MESA, AZ 85206-2569
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
02/17/2026
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