Individual
MRS. PAMELA RAE WILDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
425 NORTH MAIN STREET, DOVE CREEK, CO 81324
(970) 677-2296
Mailing address
701 CAMINO DEL RIO STE 221, DURANGO, CO 81301-5466
(970) 247-3261
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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