Individual
BRIANNE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4200 NW DANIELS ST, VANCOUVER, WA 98660-1758
(360) 313-2300
Mailing address
4200 NW DANIELS ST, VANCOUVER, WA 98660-1758
(360) 313-2300
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
462340A
WA
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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