Individual
EMILY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
411 N MADISON ST, WEBB CITY, MO 64870-1238
(417) 673-6000
Mailing address
21931 IVY RD, WEBB CITY, MO 64870-8135
(801) 472-2743
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
2021029787
MO
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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