Individual
ERIN O'BRIEN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
100 DEERFIELD RD, WINDSOR, CT 06095-4252
(860) 552-2002
Mailing address
100 DEERFIELD RD., EASTER SEALS CAPITAL REGION & ES CT, WINDSOR, CT 06095
(860) 552-2002
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
004257
CT
Other
Enumeration date
02/21/2012
Last updated
02/21/2012
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