Individual
MS. CARRIE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
S.L.P.A
Contact information
Practice address
2424 196TH ST NW, STANWOOD, WA 98292-5788
(360) 652-9770
Mailing address
PO BOX 431, SILVANA, WA 98287-0431
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
11/30/2012
Last updated
11/30/2012
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