Individual
AMANYE WILKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
758 ROYAL ST, BATON ROUGE, LA 70802-6433
(225) 529-3890
Mailing address
804 20TH ST, GRETNA, LA 70053-6604
(504) 430-4327
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
LA
Other
Enumeration date
08/16/2020
Last updated
11/22/2022
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