Individual
AMY J WILMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.-CCC/SLP
Contact information
Practice address
1200 SHAKOPEE TOWN SQ, SHAKOPEE, MN 55379-1902
(952) 496-5000
Mailing address
1200 SHAKOPEE TOWN SQ, SHAKOPEE, MN 55379-1902
(952) 496-5922
(952) 496-5935
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8328
MN
Other
Enumeration date
03/16/2009
Last updated
05/11/2026
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