Individual
CELIA BURGESS WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
297 W BOYCE ST, MANNING, SC 29102-3004
(803) 433-9001
(803) 433-9002
Mailing address
297 W BOYCE ST, MANNING, SC 29102-3004
(803) 433-9001
(803) 433-9002
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
7358
SC
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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