BEVERLY WILSON

SHREVEPORT, LA
NPI1811449895
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-10-26
Last Update Date2016-10-26
Business Address
-- BEVERLY WILSON
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 903-701-0425
Mailing Address
-- BEVERLY WILSON
PO BOX 5
RODESSA, LA 71069-0005
Phone number:
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