Individual
ERIN BORDELON WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
818 MAIN ST STE C, PINEVILLE, LA 71360-6409
(318) 446-0601
Mailing address
818 MAIN ST STE C, PINEVILLE, LA 71360-6409
(318) 446-0601
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7912
LA
Other
Enumeration date
05/18/2017
Last updated
04/12/2022
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