Individual
WYNTON HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 CHRISTIAN LN, SLIDELL, LA 70458-1350
(985) 690-6622
Mailing address
3400 BRADBURY ST, MERAUX, LA 70075-8007
(504) 909-8128
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
14330
LA
Other
Enumeration date
09/14/2017
Last updated
09/14/2017
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