Individual
ANNA WILKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSP, CCC/SLP
Contact information
Practice address
5 RICHLAND MEDICAL PARK DR, COLUMBIA, SC 29203-6863
(803) 434-2300
Mailing address
5 RICHLAND MEDICAL PARK DR, COLUMBIA, SC 29203-6863
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
787
SC
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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