Organization
CLEAR SPEECH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA RENEE WILSON M ED. CCC-SLP (OWNER/SPEECH LANGUAGE PATHOLOGIST)
(404) 202-8490
Entity
Organization
Contact information
Practice address
2395 WALL ST SE STE 190, CONYERS, GA 30013-6703
(404) 202-8490
(770) 679-9344
Mailing address
2395 WALL ST SE STE 190, CONYERS, GA 30013-6703
(404) 202-8490
(770) 679-9344
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006266
GA
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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