Individual
KORICK WILKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
721 EASTLAND AVE, RUSTON, LA 71270-4607
(504) 939-1402
Mailing address
721 EASTLAND AVE, RUSTON, LA 71270-4607
(504) 939-1402
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/15/2016
Last updated
12/15/2016
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