Individual
JON WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
316 W PIKE ST STE 130, LAWRENCEVILLE, GA 30046-4894
(770) 871-1922
(404) 581-5949
Mailing address
634 CONCORD LAKE CIR SE, SMYRNA, GA 30082-2638
(770) 871-1922
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007911
GA
Other
Enumeration date
02/11/2014
Last updated
10/10/2025
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