Individual
KASEY BROOKE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 CLOVERDALE RD, JACKSONVILLE, AR 72076-5614
(501) 982-3117
(501) 241-2004
Mailing address
500 CLOVERDALE RD, JACKSONVILLE, AR 72076-5614
(501) 982-3117
(501) 241-2004
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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