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1194965244
THERESA WILSON
BROOKLYN, NY
NPI
1194965244
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 003662-1)
Enumeration Date
2009-03-03
Last Update Date
2009-03-03
Business Address
-- THERESA WILSON CCC SLP
9 IRA CT
BROOKLYN, NY 11229-5985
Phone number: 718-288-7401
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Mailing Address
-- THERESA WILSON CCC SLP
9 IRA CT
BROOKLYN, NY 11229-5985
Phone number: 718-288-7401
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