Individual
MS. WENDY LYNETTE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9377 HIGHLAND OAKS AVE, ZACHARY, LA 70791-7450
(225) 324-4590
Mailing address
9377 HIGHLAND OAKS AVE, ZACHARY, LA 70791-7450
(225) 324-4590
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7795
LA
Other
Enumeration date
05/07/2013
Last updated
05/07/2013
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