Individual
PATRICIA ALINE WYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LLC
Contact information
Practice address
17620 VILLA TRACE AVE, GREENWELL SPRINGS, LA 70739-4648
(225) 270-5742
(225) 664-0760
Mailing address
17620 VILLA TRACE AVE, GREENWELL SPRINGS, LA 70739-4648
(225) 270-5742
(225) 664-0760
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10232
LA
Other
Enumeration date
09/13/2013
Last updated
03/30/2017
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