Individual
EMILY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 VETERANS DR, OXFORD, MS 38655-3578
(662) 259-5516
Mailing address
711 AVIGNON DR, RIDGELAND, MS 39157-5120
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S4320
MS
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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