Individual
LISA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2837 MALVERN AVE, HOT SPRINGS, AR 71901-8321
(501) 262-1724
Mailing address
205 WEDGEWOOD TER, HOT SPRINGS, AR 71901-7321
(501) 318-1409
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
326
AR
Other
Enumeration date
06/19/2008
Last updated
06/19/2008
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