Individual
AMANDA M WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2660 SW 3RD ST, TOPEKA, KS 66606-2442
(785) 354-6116
Mailing address
2660 SW 3RD ST, TOPEKA, KS 66606-2442
(785) 354-6116
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4774
KS
Other
Enumeration date
09/05/2019
Last updated
02/05/2024
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