MS. Brenda M Wilson, CCC

NPI #1215054507 in Mattoon, Illinois

Provider Information

NPI Number
1215054507
Entity Type
Individual
Name
MS. Brenda M Wilson, CCC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Credential
CCC
Enumeration Date
Mar 23, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
200 LERNA RD S
ZIP Code
61938-9388
Phone
(217) 258-3640

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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