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1386130573
RACQUEL MONIQUE WILSON
KENNER, LA
NPI
1386130573
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2018-07-10
Last Update Date
2018-08-01
Business Address
RACQUEL MONIQUE WILSON
2613 DECATUR ST
KENNER, LA 70062
Phone number: 504-247-2245
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Mailing Address
RACQUEL MONIQUE WILSON
2613 DECATUR ST
KENNER, LA 70062-5023
Phone number: 504-247-2245
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