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1164057964
DAMARIS WILSON
LEBANON, TN
NPI
1164057964
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: TN 7027)
Enumeration Date
2020-03-12
Last Update Date
2020-03-12
Business Address
DAMARIS WILSON SLP-CCC
397 N CASTLE HEIGHTS AVE
LEBANON, TN 37087-1514
Phone number: 423-622-1551
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Mailing Address
DAMARIS WILSON SLP-CCC
PO BOX 8114
CHATTANOOGA, TN 37414-0114
Phone number:
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