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Individual

ANDREA WILDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11801 SONOMA DR, AUSTIN, TX 78738-5408
(512) 533-6500
Mailing address
11801 SONOMA DR, AUSTIN, TX 78738-5408
(512) 533-6500

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
110374
TX

Other

Enumeration date
09/01/2021
Last updated
09/01/2021
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