LARRY COLENZO WILSON

SHREVEPORT, LA
NPI1750869285
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2018-08-06
Last Update Date2018-08-06
Business Address
MR. LARRY COLENZO WILSON
6224 N INWOOD RD
SHREVEPORT, LA 71119-7213
Phone number: 318-453-0447
Mailing Address
MR. LARRY COLENZO WILSON
6224 N INWOOD RD
SHREVEPORT, LA 71119-7213
Phone number: 318-453-0447
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