Individual
JOAN ESSE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
4801 LANG AVE NE STE 110, ALBUQUERQUE, NM 87109-4475
(505) 410-1461
Mailing address
4801 LANG AVE NE STE 110, ALBUQUERQUE, NM 87109-4475
(505) 410-1461
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4236
NM
Other
Enumeration date
03/17/2009
Last updated
03/17/2009
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