(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003288903
Provider Name: MALVANESE WILLIAMS
Entity Type: Individual
Taxonomy Code: 101YM0800X
Specialty: Counselor
License Number:
Most Important Dates
Enumeration Date: 10/30/2015
Last Updated: 11/02/2018
Provider Practice Location
809 COLLEGE ST
SHREVEPORT
LA
711042928
Practice Location Phone/Fax
Phone: 3186586099
Fax:
Provider Mailing Location
809 COLLEGE ST
SHREVEPORT
LA
711042928
Provider Mailing Phone/Fax
Phone: 3186586099
Fax: