MARRICO WILSON

SHREVEPORT, LA
NPI1033913736
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2025-04-02
Last Update Date2025-04-02
Business Address
MARRICO WILSON
404 HEARNE AVE
SHREVEPORT, LA 71103-2022
Phone number: 318-716-1369
Mailing Address
MARRICO WILSON
404 HEARNE AVE
SHREVEPORT, LA 71103-2022
Phone number: 318-716-1369
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