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Individual

DR. ANDREA ROSE WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP/AUD

Contact information

Practice address
903 HILLIGOSS BLVD SE, FOSSTON, MN 56542-1541
(219) 435-1210
(218) 435-1175
Mailing address
PO BOX 300, FOSSTON, MN 56542-0300
(218) 435-1210
(218) 435-1175

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
529087
MN
235Z00000X
Speech-Language Pathologist
Primary
529087
MN

Other

Enumeration date
06/18/2019
Last updated
11/13/2025
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