BRIAN WILSON

SHREVEPORT, LA
NPI1427897107
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2024-05-22
Last Update Date2024-05-22
Business Address
BRIAN WILSON
2920 KNIGHT ST STE 155
SHREVEPORT, LA 71105-2412
Phone number: 318-272-6667
Mailing Address
BRIAN WILSON
2920 KNIGHT ST STE 155
SHREVEPORT, LA 71105-2412
Phone number: 318-272-6667