Individual
MRS. GRACE CHRISTINE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
3706 N WILLIAMS, OKLAHOMA CITY, OK 73112-2939
(405) 946-6225
Mailing address
3706 N WILLIAMS, OKLAHOMA CITY, OK 73112-2939
(405) 946-6225
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
01025271
—
235Z00000X
Speech-Language Pathologist
Primary
2138
OK
Other
Enumeration date
09/17/2006
Last updated
07/08/2007
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