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Individual

DANIELLE MARIE WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
558 E 2ND ST, POWELL, WY 82435-2001
(307) 753-2864
Mailing address
558 E 2ND ST, POWELL, WY 82435-2001
(307) 753-2864

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-918
WY

Other

Enumeration date
08/20/2019
Last updated
01/22/2020
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