MARY WILSON

SHREVEPORT, LA
NPI1881137677
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2016-11-28
Last Update Date2018-05-23
Business Address
MARY WILSON MA
351 W 79TH ST
SHREVEPORT, LA 71106
Phone number: 318-688-8190
Mailing Address
MARY WILSON MA
171 WATERS EDGE DR
SHREVEPORT, LA 71106-7775
Phone number: 318-230-4534
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