Individual
AZURE CELESTE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
6273 SILVER FOX TRL, MORRISTOWN, TN 37814-1308
(423) 353-4390
Mailing address
6273 SILVER FOX TRL, MORRISTOWN, TN 37814-1308
(423) 353-4390
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
000604326
TN
Other
Enumeration date
02/10/2014
Last updated
11/20/2017
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