IVORY WILSON

BATON ROUGE, LA
NPI1861248866
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-04-29
Last Update Date2024-04-29
Business Address
IVORY WILSON MA, LAC, CCDP-D,
440 N FOSTER DR FL 2
BATON ROUGE, LA 70806-3561
Phone number: 225-283-1447
Mailing Address
IVORY WILSON MA, LAC, CCDP-D,
440 N FOSTER DR FL 2
BATON ROUGE, LA 70806-3561
Phone number: 225-283-1447
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