Individual
PAULINE WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
10051 FOXES WAY, KING GEORGE, VA 22485-3458
(540) 775-4000
Mailing address
1212 PAIUTE TRL, ALAMOGORDO, NM 88310-4061
(575) 430-9124
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
C-5325
NM
Other
Enumeration date
03/19/2015
Last updated
03/19/2015
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