Individual
MR. JAYME ROBERT WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA,CCC-SLP
Contact information
Practice address
3285 MARTIN RD, SUITE 104, COMMERCE TOWNSHIP, MI 48390-1601
(248) 669-1230
(248) 669-4745
Mailing address
3285 MARTIN RD, SUITE 104, COMMERCE TOWNSHIP, MI 48390-1601
(248) 669-1230
(248) 669-4745
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12029617
MI
Other
Enumeration date
09/09/2010
Last updated
09/09/2010
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