Individual
MS. MELISSA CHRISTINE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
8 CALLE MEDICO, 681 CALLECITA JICARILLA, SANTA FE, NM 87505-4724
(505) 424-8777
(505) 424-9777
Mailing address
PO BOX 24258, SANTA FE, NM 87502-9258
(505) 424-8777
(505) 424-9777
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
457
NM
Other
Enumeration date
12/12/2006
Last updated
04/06/2010
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