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1174347413
MARY GRACE WILSON
SANTA MONICA, CA
NPI
1174347413
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Former Name
MARY BASSILY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 30787)
Enumeration Date
2024-11-13
Last Update Date
2024-11-13
Business Address
MARY GRACE WILSON
1932 14TH ST
SANTA MONICA, CA 90404-4605
Phone number: 310-344-2276
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Mailing Address
MARY GRACE WILSON
6127 W 74TH ST
LOS ANGELES, CA 90045-1605
Phone number:
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