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1043688716
ANDREW WILSON
SHREVEPORT, LA
NPI
1043688716
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Professional Name
ANDREW WILSON
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 8660)
Enumeration Date
2015-09-11
Last Update Date
2015-09-11
Business Address
Mr. ANDREW WILSON
6007 FINANCIAL PLZ STE 213
SHREVEPORT, LA 71129-2638
Phone number: 318-458-5158
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Mailing Address
Mr. ANDREW WILSON
9817 HADRIANS WAY
SHREVEPORT, LA 71118-4843
Phone number: 318-458-5158
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