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1174965446
AMY WILSON
SPRINGFIELD, IL
NPI
1174965446
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146.011506)
Enumeration Date
2013-07-26
Last Update Date
2013-07-26
Business Address
-- AMY WILSON
2120 WEST WASHINGTON STREET
SPRINGFIELD, IL 62702
Phone number: 217-793-4880
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Mailing Address
-- AMY WILSON
2120 W WASHINGTON ST
SPRINGFIELD, IL 62702-4630
Phone number:
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