JEREMY WILSON THEODORE

HOUMA, LA
NPI1568959955
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2018-04-20
Last Update Date2018-04-20
Business Address
JEREMY WILSON THEODORE
1340 W TUNNEL BLVD STE 230
HOUMA, LA 70360-2811
Phone number: 504-314-1737
Mailing Address
JEREMY WILSON THEODORE
1340 W TUNNEL BLVD STE 230
HOUMA, LA 70360-2811
Phone number: 504-314-1737
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