Individual
MS. STACEY ELIZABETH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
507 N HOOK ST, TUSCUMBIA, AL 35674-1867
(256) 381-4310
Mailing address
1007 E 5TH ST, TUSCUMBIA, AL 35674-2803
(256) 740-2995
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2420
AL
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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