MARY GRACE WILSON

SANTA MONICA, CA
NPI1174347413
Former NameMARY BASSILY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: CA  30787)
Enumeration Date2024-11-13
Last Update Date2024-11-13
Business Address
MARY GRACE WILSON
1932 14TH ST
SANTA MONICA, CA 90404-4605
Phone number: 310-344-2276
Mailing Address
MARY GRACE WILSON
6127 W 74TH ST
LOS ANGELES, CA 90045-1605
Phone number:
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