Individual
MRS. LAURIE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1235 MONTE ELMA RD, ELMA, WA 98541-9021
(360) 482-1123
(360) 482-3963
Mailing address
1235 MONTE ELMA RD, ELMA, WA 98541-9021
(360) 482-1123
(360) 482-3963
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00001507
WA
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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