Individual
MRS. JIREE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
50 DOGWOOD ST, BENNET, NE 68317-2029
(402) 782-3535
Mailing address
120 ADAMS ST, BENNET, NE 68317-2420
(402) 560-1421
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14032803
NE
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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