Individual
MRS. KRISTIN PORRITT WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
8610 8TH AVE NE, SEATTLE, WA 98115-3004
(206) 985-6646
Mailing address
8610 8TH AVE NE, SEATTLE, WA 98115-3004
(206) 985-6646
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60071449
WA
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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