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Individual

WILFRED ALLRIDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6522 W MAIN ST, HOUMA, LA 70360-2267
(225) 478-9533
(225) 478-9534
Mailing address
6522 W MAIN ST, HOUMA, LA 70360-2267
(225) 478-9533
(225) 478-9534

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
04/11/2017
Last updated
04/11/2017
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