Individual
MISS ROXIE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RSW
Contact information
Practice address
8946 INTERLINE AVE, SUITE A, BATON ROUGE, LA 70809-1913
(225) 615-7282
Mailing address
8946 INTERLINE AVE, SUITE A, BATON ROUGE, LA 70809-1913
(225) 615-7282
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
008784269
LA
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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