Individual
ANGELINA MARIA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
250 LAWRENCE AVE, PARK FALLS, WI 54552-1431
(715) 762-2449
Mailing address
5800 GRANITE PKWY STE 1000, PLANO, TX 75024-6619
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4611-154
WI
Other
Enumeration date
08/26/2019
Last updated
08/17/2021
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