Individual
MARY ELIZABETH WILKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3801 NORTH BLVD, BATON ROUGE, LA 70806-3825
(225) 381-6696
(225) 381-2536
Mailing address
3801 NORTH BLVD, BATON ROUGE, LA 70806-3825
(225) 381-6696
(225) 381-2536
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3636
LA
Other
Enumeration date
03/27/2008
Last updated
03/27/2008
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