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1164957833
TRAVIS WILKERSON
HARVEY, LA
NPI
1164957833
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2017-05-01
Last Update Date
2024-01-29
Business Address
TRAVIS WILKERSON
2439 MANHATTAN BLVD STE 207
HARVEY, LA 70058-5361
Phone number: 504-364-8949
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Mailing Address
TRAVIS WILKERSON
1924 CONSTANTINOPLE ST
NEW ORLEANS, LA 70115-5318
Phone number:
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