Individual
MRS. LESLIE ANN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP-CCC
Contact information
Practice address
391 E ALLEN ST APT 22, CASTLE ROCK, CO 80108-7664
(720) 272-0416
Mailing address
391 E ALLEN ST APT 22, CASTLE ROCK, CO 80108-7664
(720) 272-0416
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/01/2011
Last updated
07/01/2011
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