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Individual

MS. BRANDY WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, MSW, MHP

Contact information

Practice address
5761 LOUIS PRIMA DR E, NEW ORLEANS, LA 70128
(985) 285-8430
Mailing address
5761 LOUIS PRIMA DR E, NEW ORLEANS, LA 70128-2808
(985) 285-8430

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
11699
LA

Other

Enumeration date
09/30/2015
Last updated
07/26/2018
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