Individual
MR. DANIEL EUGENE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
75 LIBERTY AVE, #A20, JERSEY CITY, NJ 07306-5029
(201) 963-3331
Mailing address
75 LIBERTY AVE, #A20, JERSEY CITY, NJ 07306-5029
(201) 963-3331
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00408400
NJ
Other
Enumeration date
01/13/2007
Last updated
07/08/2007
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