Individual
DEVLIN WILDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
557 CEDAR CREEK FARM RD, TUCKASEGEE, NC 28783-9677
(828) 554-5105
Mailing address
557 CEDAR CREEK FARM RD, TUCKASEGEE, NC 28783-9677
(828) 554-5105
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9692
NC
Other
Enumeration date
10/06/2014
Last updated
10/06/2014
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