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Individual

MRS. LATRELLE ZORN WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSC CCC A

Contact information

Practice address
2163 NORMANDIE DRIVE, MONTGOMERY, AL 36111-2750
(334) 284-1870
(334) 284-2112
Mailing address
2163 NORMANDIE DRIVE, MONTGOMERY, AL 36111-2750
(334) 284-1870
(334) 284-2112

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
ASHA01121390

Other

Enumeration date
07/16/2008
Last updated
03/11/2010
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