Individual
MRS. STEPHANIE LOU'ELLEN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA.ED
Contact information
Practice address
509 LANDSCAPE RD, GRAYSON, KY 41143-7127
(606) 316-1888
Mailing address
509 LANDSCAPE RD, GRAYSON, KY 41143-7127
(606) 316-1888
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NA
KY
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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