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CAROLE ANN WILSON MS,CCC/SLP

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1154592269

Individual Registrant:
 CAROLE ANN WILSON MS,CCC/SLP
Gender: F
Sole Proprietor

Location and contact information for practice:
501 CHESTNUT ST  PARSONS, WV 26287-1005 US
Tel: 304-624-6554  Fax: 304-624-5223

Contact information for business:
501 CHESTNUT ST  PARSONS, WV 26287-1005 US
Tel: 304-624-6554  Fax: 304-624-5223

Registration Information:
NPI: 1154592269
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
WV

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
3810002025WV05




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