Individual
BETHEL MCMULLEN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
255 SE 7TH AVE, SUITE 2, CRYSTAL RIVER, FL 34429-4891
(352) 795-4114
(352) 563-2438
Mailing address
255 SE 7TH AVE, SUITE 2, CRYSTAL RIVER, FL 34429-4891
(352) 795-4114
(352) 563-2438
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA6035
FL
Other
Enumeration date
08/20/2015
Last updated
08/20/2015
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