Individual
SHILON WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9817 HADRIANS WAY, SHREVEPORT, LA 71118
(318) 464-0992
Mailing address
9817 HADRIANS WAY, SHREVEPORT, LA 71118
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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