Individual
CHRISTINA NICOLE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5631 5TH ST N, ARLINGTON, VA 22205-1005
(918) 852-5291
Mailing address
5631 5TH ST N, ARLINGTON, VA 22205-1005
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005288
VA
Other
Enumeration date
07/05/2007
Last updated
05/20/2008
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