Individual
DANIELLE MARIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
191 WAVERLEY DR, FREDERICK, MD 21702-3853
(240) 236-8700
Mailing address
191 S EAST ST, FREDERICK, MD 21701-5918
(301) 644-5000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
05338
MD
Other
Enumeration date
03/08/2007
Last updated
12/20/2018
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