IRA WILSON

TERRYTOWN, LA
NPI1295274090
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
(Licence: LA  1881067312)
Enumeration Date2017-02-14
Last Update Date2017-02-14
Business Address
-- IRA WILSON
1799 STUMPF BLVD BLDG 3
TERRYTOWN, LA 70056-3950
Phone number: 504-339-5064
Mailing Address
-- IRA WILSON
448 FAIRFIELD AVE
GRETNA, LA 70056-7034
Phone number: 504-339-5064
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