JERWIN JERMAINE WILSON

SHREVEPORT, LA
NPI1811421084
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2017-04-14
Last Update Date2017-04-14
Business Address
-- JERWIN JERMAINE WILSON
7505 PINES RD
SHREVEPORT, LA 71129-3935
Phone number: 318-562-3707
Mailing Address
-- JERWIN JERMAINE WILSON
6057 FOX CHASE TRL
SHREVEPORT, LA 71129-3540
Phone number: 318-436-1022
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