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Individual

MRS. CHRISTIE PASCHAL WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS CCC/SLP

Contact information

Practice address
200 MEDICAL CENTER DR SW, FORT PAYNE, AL 35968
(256) 997-2460
Mailing address
251 JOHNSTON ST SE STE 200, DECATUR, AL 35601-2515
(256) 350-1764

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2026
AL
235Z00000X
Speech-Language Pathologist
SLP007845
GA

Other

Enumeration date
08/18/2009
Last updated
12/06/2018
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