Individual
MR. HARRY WILSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6290 PARKHILL RD, SANTA MARGARITA, CA 93453-9658
(805) 438-3862
Mailing address
6290 PARKHILL RD, SANTA MARGARITA, CA 93453-9658
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8263
CA
Other
Enumeration date
02/14/2013
Last updated
02/14/2013
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