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Individual

WILLIAM PERRY LILES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, CCC/SLP

Contact information

Practice address
8075 MADISON BLVD, SUITE 108, MADISON, AL 35758-2041
(256) 656-9440
Mailing address
8075 MADISON BLVD, SUITE 108, MADISON, AL 35758-2041
(256) 656-9440

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1042
AL

Other

Enumeration date
05/08/2009
Last updated
05/08/2009
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