Individual
ELLEN MCGUIGAN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
13219 NE PRAIRIE RD, BRUSH PRAIRIE, WA 98606-9832
(760) 868-2568
Mailing address
13219 NE PRAIRIE RD, BRUSH PRAIRIE, WA 98606-9832
(360) 342-4017
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/16/2013
Last updated
01/16/2013
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