Individual
RENEE NICHOLE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2301 RESEARCH BLVD STE 110, ROCKVILLE, MD 20850-6250
(301) 424-5200
Mailing address
409 N HORNERS LN, ROCKVILLE, MD 20850-1645
(301) 424-5200
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
05767
MD
Other
Enumeration date
03/18/2009
Last updated
03/18/2009
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