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Individual

KATHERINE MORGAN WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, LMFT, LPC, RNC

Contact information

Practice address
312 GRAMMONT ST, SUITE 300, MONROE, LA 71201-7457
(318) 388-4030
(318) 998-3999
Mailing address
312 GRAMMONT ST, SUITE 300, MONROE, LA 71201-7457
(318) 388-4030
(318) 998-3999

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
3140
LA
106H00000X
Marriage & Family Therapist
Primary
1001
LA
163W00000X
Registered Nurse
RN081340
LA
163WP0808X
Psychiatric/Mental Health Registered Nurse
0278542-03
LA

Other

Enumeration date
07/14/2010
Last updated
07/14/2010
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