Individual
JESSICA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
701 W ELM ST, WINFIELD, MO 63389-1102
(636) 668-8188
Mailing address
701 W ELM ST, WINFIELD, MO 63389-1102
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2017024884
MO
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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