Most Relevant Information
Provider Data
| NPI Number: | 1003470808 |
| Provider Name: | SHANETTA S WILLIAMS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | P07247 |
Most Important Dates
| Enumeration Date: | 04/26/2019 |
| Last Updated: | 04/26/2019 |
Provider Practice Location
81 LAKE AVE
ROCHESTER
NY
146081410
Practice Location Phone/Fax
| Phone: | 5853686900 |
| Fax: | 5855465806 |
Provider Mailing Location
81 LAKE AVE
ROCHESTER
NY
146081410
Provider Mailing Phone/Fax
| Phone: | 5853686900 |
| Fax: | 5855465806 |