Individual
ANGELINA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
14755 GRANGER PINES WAY, CONROE, TX 77302-2215
(936) 709-4700
Mailing address
14755 GRANGER PINES WAY, CONROE, TX 77302-2215
(936) 709-4700
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
101718
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101718
TDLR
TX
Enumeration date
08/13/2007
Last updated
08/29/2022
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