Individual
MRS. SUMALEE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-SLP
Contact information
Practice address
84-1061 NOHOLIO RD, WAIANAE, HI 96792-2247
(808) 696-7657
Mailing address
2351 AUHUHU ST, PEARL CITY, HI 96782-1143
(808) 454-0506
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
856
HI
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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