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Individual

ETHEL WILKINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12628 HOOPER RD STE C, BATON ROUGE, LA 70818-3527
(225) 953-8170
Mailing address
368 CRESTVIEW AVE, BATON ROUGE, LA 70807-2533
(225) 442-2108

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
19648
LA
171M00000X
Case Manager/Care Coordinator
Primary
LA

Other

Enumeration date
06/14/2023
Last updated
02/26/2026
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