Ebony Wilridge
Social Worker in Lafayette, LA. Individual provider (NPI-1).
NPI number1043682016
StatusActive
Last updated in NPPESDec 21, 2020
Details
- NPI
- 1043682016
- Entity type
- Individual (NPI-1)
- Name
- Ebony Wilridge
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 29, 2015
- Certification date
- Dec 21, 2020
- Last updated
- Dec 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 11260 | LA | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
114 Curran Ln Ste A-1Lafayette, LA 70506-7222
Phone 337-703-3037 · Fax 337-340-9280
Mailing address
310 E Racca RdJennings, LA 70546-7822
Other practice locations
310 E Racca Rd
Jennings, LA 70546-7822
Jennings, LA 70546-7822
Phone 318-652-7845
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