Individual
STEPHANIE A WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L-SLP, CCC-SLP
Contact information
Practice address
1100 WEBSTER ST, DONALDSONVILLE, LA 70346-2754
(225) 391-7262
Mailing address
1100 WEBSTER ST, DONALDSONVILLE, LA 70346-2754
(225) 391-7262
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4370
LA
Other
Enumeration date
08/02/2011
Last updated
08/28/2024
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