Individual
MARY ANN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
161 RIVERSIDE DR, BINGHAMTON, NY 13905-4176
(607) 770-9050
Mailing address
102 EDGEBROOK DR, ROARING BROOK TWP, PA 18444-7644
(570) 702-9365
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AT006464
PA
Other
Enumeration date
07/18/2016
Last updated
05/18/2021
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