Individual
FABIANNE A'SHANTE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 VILLAGE ST STE A, SLIDELL, LA 70458-5302
(985) 781-4444
Mailing address
8326 KELWOOD AVE, BATON ROUGE, LA 70806-4803
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Enumeration date
01/16/2026
Last updated
01/16/2026
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