Individual
COLIN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1510 N CAPITOL ST NW UNIT 1, WASHINGTON, DC 20002-6869
(229) 740-9886
Mailing address
1510 N CAPITOL ST NW UNIT 1, WASHINGTON, DC 20002-6869
(229) 740-9886
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204000833
VA
Other
Enumeration date
09/27/2021
Last updated
11/04/2022
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