Individual
STEPHANIE KAY WILKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
397 JASON DR. SUITE SUITE 4, RICHMOND, KY 40475
(859) 353-3666
Mailing address
307 JASON DR STE 4, RICHMOND, KY 40475-2774
(859) 353-3666
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
265768
KY
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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