Individual
ERIN DESTINY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1637 ATHENS HWY STE B, GRAYSON, GA 30017-1768
(770) 995-9600
Mailing address
1637 ATHENS HWY STE B, GRAYSON, GA 30017-1768
(770) 995-9600
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP012637
GA
Other
Enumeration date
09/07/2023
Last updated
09/11/2023
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