Individual
BILL WOOTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
555 SAINT TAMMANY ST STE D, BATON ROUGE, LA 70806-6064
(225) 929-9738
Mailing address
2324 CURTIS ST APT 1, BATON ROUGE, LA 70807-5067
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/15/2016
Last updated
01/15/2016
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