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: |