Individual
ELIZABETH WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5236 MEADOWDALE ST, METAIRIE, LA 70006-3926
(504) 454-0360
Mailing address
5236 MEADOWDALE ST, METAIRIE, LA 70006-3926
(504) 454-0360
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8770
LA
Other
Enumeration date
09/21/2019
Last updated
09/21/2019
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