Individual
MS. KAITLYN PAGE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2225 OLD EMMORTON ROAD, SUITE 210, BEL AIR, MD 21015
(410) 515-4900
Mailing address
2213 ROGENE DRIVE, #201, BALTIMORE, MD 21209
(941) 400-5270
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
05523
MD
Other
Enumeration date
12/26/2007
Last updated
12/26/2007
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