Individual
CARRIE MAYGEN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
430 DIXIE PLZ, NATCHITOCHES, LA 71457-5881
(318) 357-9009
Mailing address
1000 CHINABERRY DR STE 900, BOSSIER CITY, LA 71111-2455
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/22/2020
Last updated
02/28/2023
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