Individual
STEFFANI LYNN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
9 PINEHURST DR, JERICHO, VT 05465-6500
(802) 730-4472
Mailing address
9 PINEHURST DR, JERICHO, VT 05465-6500
(802) 730-4472
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
VT
Other
Enumeration date
01/09/2014
Last updated
01/09/2014
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