Individual
KARLIE P WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1000 JOHNSON FERRY RD, #B200, MARIETTA, GA 30068-2114
(770) 380-7921
Mailing address
1527 PARK CREEK LN NE, ATLANTA, GA 30319-2145
(770) 380-7921
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007760
GA
Other
Enumeration date
12/28/2011
Last updated
12/28/2011
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