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1003350604
KORICK WILKERSON
RUSTON, LA
NPI
1003350604
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-12-15
Last Update Date
2016-12-15
Business Address
-- KORICK WILKERSON
721 EASTLAND AVE
RUSTON, LA 71270-4607
Phone number: 504-939-1402
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Mailing Address
-- KORICK WILKERSON
721 EASTLAND AVE
RUSTON, LA 71270-4607
Phone number: 504-939-1402
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