Jerome Wilson

NPI #1922648674 in Thibodaux, Louisiana

Provider Information

NPI Number
1922648674
Entity Type
Individual
Name
Jerome Wilson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Enumeration Date
Jan 10, 2020
Last Updated
Jan 10, 2020

Practice Location

Address
100 DIPLOMAT WAY
ZIP Code
70301-4314
Phone
(985) 316-6483

Specialties & Taxonomy Codes

Specialty
Psychologist - FamilyFamily
Counselor - ProfessionalProfessional

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