Individual
KASSANDRA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 HIGH POINT DR, KANE, PA 16735-9704
(670) 681-4837
Mailing address
1309 PENNSYLVANIA AVE W, WARREN, PA 16365-1921
(814) 730-4261
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
PA
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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