Individual
MRS. GWEN WILSON HOLLINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
301 DUNAND ST, LAFAYETTE, LA 70501-2215
(337) 521-7990
Mailing address
113 CHAPLIN DR, LAFAYETTE, LA 70508-2101
(337) 521-7093
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
7436
LA
Other
Enumeration date
12/20/2012
Last updated
12/20/2012
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