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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IRA WILSON

Active Sole Proprietor

IRA WILSON is a Community/Behavioral Health healthcare provider located in TERRYTOWN, Louisiana. NPI 1295274090 is currently active in the NPPES registry. Verify at CMS.

Community/Behavioral Health · TERRYTOWN, LA

Registration Details

NPI Number
1295274090
Provider Type
Individual
Gender
Female
NPI Issued
Feb 14, 2017 (9.5252582496032 yrs)
Last Updated
Feb 14, 2017
License
1881067312 (LA)
Sole Proprietor
Yes

Practice Information

Address
1799 STUMPF BLVD BLDG 3
TERRYTOWN, LA, 700563950
Browse LA providers · Browse ZIP 70056
Phone
5043395064
Primary Specialty
Community/Behavioral Health
251S00000X

Other Community/Behavioral Health Providers in TERRYTOWN, LA

Name Credential NPI
MRS. MIGNON MOORE HILLIARD 1033622154
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.