Individual
GABRIELLE GEORGE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1456 GARDENA DR, NEW ORLEANS, LA 70122-1914
(504) 373-6267
Mailing address
1456 GARDENA DR, NEW ORLEANS, LA 70122-1914
(504) 373-6267
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8616
LA
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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