MS. Shirley Ann Williamson

NPI #1649444720 in Raytown, Missouri

Provider Information

NPI Number: 1649444720
Entity Type: Individual
Name: MS. Shirley Ann Williamson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Apr 18, 2008
Last Updated: Apr 19, 2008

Practice Location

Address: 8108 BLUE RIDGE BLVD
City: Raytown
State: Missouri
ZIP Code: 64138-1552
Phone: (816) 612-1057

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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