Individual
GERALDINE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 E SANDERS ST, GONZALES, LA 70737-3144
(225) 647-4105
Mailing address
4580 WALTER HILL RD, DARROW, LA 70725
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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