Most Relevant Information
Provider Data
| NPI Number: | 1003325457 |
| Provider Name: | STACY WILLIAMS |
| Entity Type: | Individual |
| Taxonomy Code: | 222Q00000X |
| Specialty: | Developmental Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/28/2017 |
| Last Updated: | 09/28/2017 |
Provider Practice Location
4904 GUINEVERE CT
DURHAM
NC
277122559
Practice Location Phone/Fax
| Phone: | 9193083739 |
| Fax: |
Provider Mailing Location
4904 GUINEVERE CT
DURHAM
NC
277122559
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |