Individual
MRS. JESSICA MARIE WILKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2206 RUE SIMONE STE D, HAMMOND, LA 70403-5730
(985) 602-9828
Mailing address
PO BOX 2881, HAMMOND, LA 70404-2881
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12058
LA
Other
Enumeration date
07/02/2019
Last updated
09/15/2021
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