Individual
MISS LEANNA KATHERINE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17100 E SHEA BLVD STE 600, FOUNTAIN HILLS, AZ 85268-6663
(480) 837-4565
Mailing address
28000 N NORTH VALLEY PKWY APT 1030, PHOENIX, AZ 85085-5803
(217) 316-2035
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP11206
AZ
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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