Individual
MADISON LILY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2535 22ND ST, BAY CITY, MI 48708-7612
(989) 778-2098
Mailing address
1 KIM CT, MIDLAND, MI 48642-3733
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7152000046
MI
Other
Enumeration date
05/21/2021
Last updated
09/20/2025
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