Individual
CASSIDY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4316 W CLAREMONT ST, GLENDALE, AZ 85301-4822
(206) 484-9952
Mailing address
4316 W CLAREMONT ST, GLENDALE, AZ 85301-4822
(206) 484-9952
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA15760
AZ
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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