Individual
RANDI WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC- SLP
Contact information
Practice address
110 PIPEMAKERS CIR STE 115, POOLER, GA 31322-4168
(912) 988-1526
Mailing address
110 PIPEMAKERS CIR STE 115, POOLER, GA 31322-4168
(912) 988-1526
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
GA
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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