Individual
MRS. JULIE FITZGERALD WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1925 PAULINE BLVD, SUITE B, ANN ARBOR, MI 48103-5046
(734) 649-4100
Mailing address
1925 PAULINE BLVD, SUITE B, ANN ARBOR, MI 48103-5046
(734) 649-4100
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/21/2011
Last updated
10/06/2012
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