Individual
MRS. FLORENCE ANN WILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SP
Contact information
Practice address
1513 STATE ST, ALTON, IL 62002-3456
(618) 463-2134
Mailing address
907 HAMPTON CT, GODFREY, IL 62035-1800
(618) 466-0767
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14600229
IL
Other
Enumeration date
08/18/2017
Last updated
08/18/2017
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