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Individual

ALEXIS WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CF-SLP

Contact information

Practice address
203 GROVE ST, MARYSVILLE, OH 43040-1318
(937) 578-6872
Mailing address
203 GROVE ST, MARYSVILLE, OH 43040-1318

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2017211
OH

Other

Enumeration date
08/28/2017
Last updated
08/28/2017
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