COURTNEY MICHELLE WINGATE

LAKE PROVIDENCE, LA
NPI1225588700
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2016-10-10
Last Update Date2018-05-17
Business Address
COURTNEY MICHELLE WINGATE
1700 LAKE ST
LAKE PROVIDENCE, LA 71254
Phone number: 318-559-0551
Mailing Address
COURTNEY MICHELLE WINGATE
1700 LAKE ST
LAKE PROVIDENCE, LA 71254-5208
Phone number: 318-418-2757
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