Individual
ALLIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3803B COMPUTER DR STE 200, RALEIGH, NC 27609-6503
(919) 791-3582
Mailing address
3803B COMPUTER DR STE 200, RALEIGH, NC 27609-6503
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30002819
NC
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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