Individual
MISS CHELSEA MARIE WILDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
1781 SPYGLASS DR, APT. 144, AUSTIN, TX 78746-6890
(573) 821-3452
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
111464
TX
Other
Enumeration date
08/21/2015
Last updated
08/21/2015
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