Individual
MARION WIKHOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4322 LOVELAND ST, METAIRIE, LA 70006-4178
(504) 883-6329
Mailing address
4322 LOVELAND ST, METAIRIE, LA 70006-4178
(504) 883-6329
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1471887
—
LA
01
—
21703
BLUE CROSS/SHEILD
LA
Enumeration date
11/01/2006
Last updated
07/08/2007
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