Individual
MRS. KATHERINE JONES WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
8338 BLADES TRL, DENVER, NC 28037-9154
(843) 621-7375
Mailing address
8338 BLADES TRL, DENVER, NC 28037-9154
(843) 621-7375
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12168
NC
235Z00000X
Speech-Language Pathologist
4030
SC
Other
Enumeration date
06/10/2008
Last updated
01/23/2017
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