Individual
ALYSSA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 WILLIAM PENN PLZ APT 908, DURHAM, NC 27704
(919) 869-6161
Mailing address
215 WILLIAM PENN PLZ APT 908, DURHAM, NC 27704-2564
(919) 869-6161
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11767
NC
Other
Enumeration date
01/27/2016
Last updated
07/03/2018
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