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Individual

SHERRY MARIE WILMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
142 LAURA DR, SUITE D, THIBODAUX, LA 70301-2988
(985) 446-4114
(985) 446-4112
Mailing address
142 LAURA DR, SUITE D, THIBODAUX, LA 70301-2988
(985) 446-4114
(985) 446-4112

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
07/20/2016
Last updated
07/20/2016
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