Individual
KATHERINE CECILIA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12255 DEPAUL DRIVE, 860, BRIDGETON, MO 63044-2515
(314) 394-1911
Mailing address
10097 MANCHESTER RD STE 102A, SAINT LOUIS, MO 63122-1828
(314) 394-1911
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
IN
Other
Enumeration date
06/27/2022
Last updated
08/04/2022
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