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Individual

MRS. CARRIE WOODS WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED, SLP

Contact information

Practice address
1501 GOLDEN GATE DR, CARROLLTON, TX 75007-5067
(972) 245-5562
Mailing address
1501 GOLDEN GATE DR, CARROLLTON, TX 75007-5067
(972) 245-5562

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
18270
TX

Other

Enumeration date
07/16/2010
Last updated
07/16/2010
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