MRS. Stacey Danielle Williamson

NPI #1639365232 in Normal, Illinois

Provider Information

NPI Number: 1639365232
Entity Type: Individual
Name: MRS. Stacey Danielle Williamson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: Sep 18, 2007
Last Updated: Sep 18, 2007

Practice Location

Address: 465 BASSWOOD LN
City: Normal
State: Illinois
ZIP Code: 61761-5764
Phone: (309) 268-9798

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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