Individual
MRS. ELIZABETH BROOK WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S CFY-SLP
Contact information
Practice address
8835 MONROVIA ST, LENEXA, KS 66215-3540
(913) 383-3535
Mailing address
1809 CLARKSON RD, CHESTERFIELD, MO 63017-5065
(636) 532-4560
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2011032481
MO
Other
Enumeration date
10/31/2011
Last updated
10/31/2011
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