Carly R Wilson, MS
NPI #1477026763 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1477026763
- Entity Type
- Individual
- Name
- Carly R Wilson, MS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MS
- Enumeration Date
- Jan 9, 2019
- Last Updated
- Jan 9, 2019
Practice Location
- Address
- 2614 S 15TH PL
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-7286
- Phone
- (972) 741-4393
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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