Individual
KEITH WILKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLPC
Contact information
Practice address
525 ALEXANDER ST, JONESBORO, LA 71251-2001
(318) 259-4676
Mailing address
2525 YOUREE DR STE 110, SHREVEPORT, LA 71104-3600
(318) 742-3408
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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