Individual
TOMI LYNN WILSON-KEISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
3919 S 19TH ST, TACOMA, WA 98405-1414
(503) 891-1511
Mailing address
PO BOX 64504, UNIVERSITY PLACE, WA 98464-0504
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60122969
WA
235Z00000X
Speech-Language Pathologist
SP17814
CA
Other
Enumeration date
11/16/2006
Last updated
10/27/2023
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