Individual
MRS. SARAH PAYNE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 789-7651
(843) 937-6110
Mailing address
609 ANN ST, MOUNT PLEASANT, SC 29464-5042
(843) 884-5848
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
521
SC
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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