Individual
MRS. STACIE PEEK WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
2701 MERIDIAN STREET NORTH, HUNTSVILLE, AL 35811
(256) 852-5170
Mailing address
196 WRIGHT RD, ALBERTVILLE, AL 35951
(256) 878-5820
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1272
AL
Other
Enumeration date
05/19/2009
Last updated
05/19/2009
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