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Individual

MS. KAMA M WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
412 W 55TH ST, SAND SPRINGS, OK 74063-3301
(918) 246-1520
Mailing address
2750 N 7TH ST APT 3618, BROKEN ARROW, OK 74012-2869
(918) 407-4259

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3543
OK

Other

Enumeration date
07/23/2011
Last updated
03/04/2021
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