Individual
OLIVIA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1390 PICCARD DR, ROCKVILLE, MD 20850-4367
(301) 327-5199
Mailing address
4215 GARNET DR, MIDDLETOWN, MD 21769-7544
(240) 405-6522
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
03020L
MD
Other
Enumeration date
06/18/2021
Last updated
09/10/2024
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