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1740011584
MARY ALICE WILSON
BATON ROUGE, LA
NPI
1740011584
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-08-13
Last Update Date
2024-08-13
Business Address
MARY ALICE WILSON
11861 COURSEY BLVD NULL
BATON ROUGE, LA 70816
Phone number: 225-612-8656
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Mailing Address
MARY ALICE WILSON
11861 COURSEY BLVD NULL
BATON ROUGE, LA 70816
Phone number: 225-612-8656
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