Individual
EMILY SARA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
851 W LUMSDEN RD, BRANDON, FL 33511-6280
(813) 661-8998
Mailing address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
(813) 661-8998
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA14748
FL
Other
Enumeration date
11/04/2014
Last updated
04/01/2017
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