Individual
MARCY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
610 ORANGEWOOD DR, VIRGINIA BEACH, VA 23453-2109
(757) 340-4607
Mailing address
610 ORANGEWOOD DR., VIRGINIA BEACH, VA 23453
(757) 340-4607
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005732
VA
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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