KORICK WILKERSON

RUSTON, LA
NPI1003350604
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-12-15
Last Update Date2016-12-15
Business Address
-- KORICK WILKERSON
721 EASTLAND AVE
RUSTON, LA 71270-4607
Phone number: 504-939-1402
Mailing Address
-- KORICK WILKERSON
721 EASTLAND AVE
RUSTON, LA 71270-4607
Phone number: 504-939-1402