Individual
EUNICE WILKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4111 METRO DR STE B, SHREVEPORT, LA 71109-6001
(318) 636-0391
(318) 635-3298
Mailing address
4111 METRO DR STE B, SHREVEPORT, LA 71109-6001
(318) 636-0391
(318) 635-3298
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/07/2019
Last updated
01/17/2019
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