Individual
EVANN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
3901 WRIGHTSVILLE AVE STE 120, WILMINGTON, NC 28403-6256
(910) 679-8385
Mailing address
3901 WRIGHTSVILLE AVE STE 120, WILMINGTON, NC 28403-6256
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14277
NC
Other
Enumeration date
07/07/2020
Last updated
08/12/2020
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