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Individual
SHILOH WILSON
Active
Individual
SHILOH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.016650
IL
235Z00000X
Speech-Language Pathologist
61137101
WA
Other
Enumeration date
11/10/2021
Last updated
10/19/2022
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