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Individual

DESTINY WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4370 S GRAND CANYON DR, LAS VEGAS, NV 89147-7107
(702) 850-2691
Mailing address
9121 W RUSSELL RD STE 115, LAS VEGAS, NV 89148-1238

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-3888
NV

Other

Enumeration date
07/16/2020
Last updated
06/13/2024
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