Individual
MRS. JAMIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
335 CHANDLER ST, WORCESTER, MA 01602-3441
(508) 753-2967
Mailing address
3 LOWRY LN, RUTLAND, MA 01543-2057
(774) 535-3484
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5403
MA
Other
Enumeration date
06/02/2010
Last updated
07/12/2010
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