Individual
MRS. ZILDA BREWER WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC/SLP
Contact information
Practice address
53 WOODBRIAR CT, NICHOLASVILLE, KY 40356-9194
(859) 223-2429
Mailing address
53 WOODBRIAR CT, NICHOLASVILLE, KY 40356-9194
(859) 223-2429
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3580
KY
Other
Enumeration date
01/13/2012
Last updated
01/13/2012
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