Individual
LEANNE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
22 CREE DR, LOCK HAVEN, PA 17745-2639
(570) 748-9377
Mailing address
5102 ELAND DOWNE, PHOENIXVILLE, PA 19460-1327
(412) 805-6200
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/27/2022
Last updated
05/27/2022
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