Individual
MRS. SHARON DENISE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
109 GRAVEYARD ROCK RD, SANTEE, SC 29142-8680
(803) 236-9926
Mailing address
109 GRAVEYARD ROCK RD, SANTEE, SC 29142-8680
(803) 236-9926
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4271
SC
Other
Enumeration date
04/10/2008
Last updated
01/24/2018
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