Individual
CHRISTOPHER S. WILKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
421 OCKLEY DR, SHREVEPORT, LA 71105-2919
(318) 655-2218
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7573
LA
Other
Enumeration date
06/15/2007
Last updated
07/08/2007
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