Most Relevant Information
Provider Data
| NPI Number: | 1003666009 |
| Provider Name: | SHUKANA LIQUORI WILLIAMS |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/25/2024 |
| Last Updated: | 03/25/2024 |
Provider Practice Location
404 N GARNETT ST
HENDERSON
NC
275364368
Practice Location Phone/Fax
| Phone: | 2527629775 |
| Fax: |
Provider Mailing Location
404 N GARNETT ST
HENDERSON
NC
275364368
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |