Individual
MEGAN WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22115 NE CHELATCHIE RD, AMBOY, WA 98601-3813
(360) 885-6050
Mailing address
10203 NW 26TH AVE, VANCOUVER, WA 98685-4812
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL61222784
WA
Other
Enumeration date
10/26/2021
Last updated
12/01/2021
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