Organization
CATALYST FOR CHANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA HENRY WILKLOW LCSW (OWNWE)
(504) 251-0758
Entity
Organization
Contact information
Practice address
3305 METAIRIE RD, METAIRIE, LA 70001-5215
(504) 251-0758
(504) 849-4040
Mailing address
3305 METAIRIE RD, METAIRIE, LA 70001-5215
(504) 251-0758
(504) 849-4040
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5065
LA
Other
Enumeration date
07/21/2017
Last updated
07/21/2017
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