Individual
AMBER LYNN WILLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-S
Contact information
Practice address
130 GEORGE ST, BECKLEY, WV 25801-2648
(304) 929-2665
Mailing address
1653 SCOTT RIDGE RD, BEAVER, WV 25813-9469
(304) 763-3463
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-0964
WV
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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