Individual
ANDREA LYNN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS-CCC/SLP
Contact information
Practice address
5790 S 27TH ST, MILWAUKEE, WI 53221-4129
(414) 282-1300
Mailing address
5790 S 27TH ST, MILWAUKEE, WI 53221-4129
(414) 282-1300
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2172-154
WI
Other
Enumeration date
01/07/2008
Last updated
01/07/2008
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