Individual
HEATHER WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 E BASELINE RD, SUITE B-6, TEMPE, AZ 85283-1247
(480) 839-6000
(480) 839-6363
Mailing address
600 E BASELINE RD, SUITE B-6, TEMPE, AZ 85283-1247
(480) 839-6000
(480) 839-6363
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
AZ
Other
Enumeration date
04/21/2011
Last updated
04/21/2011
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