Individual
CHRISTINA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., CCC/SLP
Contact information
Practice address
6106 RENOIR LN, ROANOKE, VA 24018-5297
(540) 769-2376
Mailing address
6106 RENOIR LN, ROANOKE, VA 24018-5297
(540) 769-2376
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202002350
VA
Other
Enumeration date
06/27/2013
Last updated
06/27/2013
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