Individual
KIMBERLY-ANN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
9440 OLD FREDERICK RD, ELLICOTT CITY, MD 21042-1799
(410) 313-2880
Mailing address
10910 CLARKSVILLE PIKE, ELLICOTT CITY, MD 21042-6106
(410) 313-6600
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
05107
MD
Other
Enumeration date
11/19/2018
Last updated
11/19/2018
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