Individual
KATHERINE COOLIDGE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 W CROSBY RD STE 136, CARROLLTON, TX 75006-6904
(972) 237-0100
Mailing address
8613 SOUTHWESTERN BLVD APT 824, DALLAS, TX 75206-8248
(832) 276-8419
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
39157
TX
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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