Individual
MISS AMY KATHERINE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2018 EXETER RD, GERMANTOWN, TN 38138-3945
(901) 756-4499
Mailing address
2018 EXETER RD, GERMANTOWN, TN 38138-3945
(901) 756-4499
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5438
TN
Other
Enumeration date
01/24/2016
Last updated
01/24/2016
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