Individual
MRS. MARTHA LOFLIN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
904 GOVERNMENT ST., DENHAM SPRINGS, LA 70726
(225) 665-7242
(225) 665-5451
Mailing address
8275 VINCENT RD APT 1306, DENHAM SPRINGS, LA 70726-6271
(225) 428-7455
(225) 665-5451
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13073
LA
Other
Enumeration date
06/24/2011
Last updated
02/10/2016
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