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Individual

ELIZABETH BROOKE WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
101 KIRKLAND ST, UNION, MS 39365-3205
(601) 774-8233
Mailing address
8887 HIGHWAY 13 N, LENA, MS 39094-9782

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4853
MS

Other

Enumeration date
12/09/2021
Last updated
12/09/2021
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