Individual
DELISE WILRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4105 KIRKMANST ST, LAKE CHARLES, LA 70607
(337) 475-8022
(337) 475-8054
Mailing address
4105 KIRKMANST ST, LAKE CHARLES, LA 70607
(337) 475-8022
(337) 475-8054
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14675
LA
Other
Enumeration date
06/28/2022
Last updated
04/30/2024
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