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Individual

MARY ELIZABETH KISER WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, SSP

Contact information

Practice address
3775 VEST MILL RD STE D, WINSTON SALEM, NC 27103-2990
(910) 818-0557
Mailing address
3775 VEST MILL RD STE D, WINSTON SALEM, NC 27103-2990
(910) 818-0557

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5524
NC

Other

Enumeration date
01/25/2022
Last updated
01/25/2022
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