Individual
CHERI E WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
254 DEER VALLEY DR, POWDERLY, TX 75473-5519
(903) 249-3734
Mailing address
254 DEER VALLEY DR, POWDERLY, TX 75473-5519
(903) 249-3734
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
103210
TX
Other
Enumeration date
04/28/2017
Last updated
04/28/2017
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