FREDRICK WILSON

SHREVEPORT, LA
NPI1609396233
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2017-06-24
Last Update Date2022-07-21
Business Address
FREDRICK WILSON
4601 N MARKET ST
SHREVEPORT, LA 71107-2971
Phone number: 318-424-8735
Mailing Address
FREDRICK WILSON
PO BOX 5
RODESSA, LA 71069-0005
Phone number: 318-223-4665
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