Individual
COURTNEY R WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
605 JEFFERSON DAVIS HWY, SUITE 101, FREDERICKSBURG, VA 22401-8403
(540) 446-2654
(540) 371-3748
Mailing address
605 JEFFERSON DAVIS HWY, SUITE 101, FREDERICKSBURG, VA 22401-8403
(540) 446-2654
(540) 371-3748
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005998
VA
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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