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1134591043
RYAN WILLIAMS
SHREVEPORT, LA
NPI
1134591043
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2015-10-30
Last Update Date
2018-06-27
Business Address
RYAN WILLIAMS
4329 RIDGEWAY ST
SHREVEPORT, LA 71107
Phone number: 318-771-9806
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Mailing Address
RYAN WILLIAMS
4329 RIDGEWAY ST
SHREVEPORT, LA 71107-7635
Phone number: 318-771-9806
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