Ira Wilson
Ira Wilson is a Community/Behavioral Health Agency in Terrytown, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.
- Licensed in
- LA
- In the registry since
- 2017
Practice location Address checks out
1799 Stumpf Blvd Bldg 3Terrytown, LA 70056-3950
Phone: (504) 339-5064
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence 1881067312 (LA) |
|---|
Record details
| NPI number | 1295274090 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 14, 2017 |
| Last updated in NPPES | February 14, 2017 |
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