Individual
MS. ELBONY ROSHA WILCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6609 SCHOBER CIR, SHREVEPORT, LA 71119-3403
(318) 402-7037
Mailing address
6609 SCHOBER CIR, SHREVEPORT, LA 71119-3403
(318) 402-7037
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/29/2015
Last updated
04/25/2022
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