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Individual

AMY L WILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
1128 N LAURA ST, JACKSONVILLE, FL 32206-4912
(904) 355-3403
(904) 355-4149
Mailing address
1128 N LAURA ST, JACKSONVILLE, FL 32206-4912
(904) 355-3403
(904) 355-4149

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ 3790
FL

Other

Enumeration date
08/31/2006
Last updated
07/09/2007
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