Individual
MISS WHITNEY ROXANNE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
448 SIDNEY BAKER S STE 103, KERRVILLE, TX 78028-5980
(830) 896-3130
Mailing address
5700 TAPADERA TRACE LN, APT. 624, AUSTIN, TX 78727-6301
(830) 591-3925
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
35674
TX
Other
Enumeration date
09/03/2010
Last updated
09/03/2010
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