Mary Louise Wilson, SLP, M.S.-CCC
NPI #1326110966 in Farmington, New Mexico
Provider Information
- NPI Number
- 1326110966
- Entity Type
- Individual
- Name
- Mary Louise Wilson, SLP, M.S.-CCC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- SLP, M.S.-CCC
- Enumeration Date
- Nov 15, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1390 E 20TH ST
- City
- Farmington
- State
- New Mexico
- ZIP Code
- 87401-9037
- Phone
- (505) 599-8535
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