Individual
OLIVIA A WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
899 MOUNTAIN AVE STE 1A, SPRINGFIELD, NJ 07081-3403
(973) 218-6394
(973) 218-6351
Mailing address
273 HICKORY ST, KEARNY, NJ 07032-3421
(201) 705-7789
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00907700
NJ
Other
Enumeration date
05/12/2022
Last updated
05/31/2022
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