Individual
MS. SHONTEL DENISE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
300 ELDRIDGE RD, SUITE 1, FORREST CITY, AR 72335
(870) 633-3278
Mailing address
479 SPRINGWAY DR, FORREST CITY, AR 72335-2921
(901) 634-1425
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#2448
AR
Other
Enumeration date
12/21/2007
Last updated
12/21/2007
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