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1295207462
KELLY M WILSON
AUSTIN, TX
NPI
1295207462
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 111168)
Enumeration Date
2018-12-27
Last Update Date
2018-12-27
Business Address
KELLY M WILSON M.A., CCC-SLP
11330 FARRAH
AUSTIN, TX 78748-1959
Phone number: 512-280-2030
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Mailing Address
KELLY M WILSON M.A., CCC-SLP
9021 KIMONO RIDGE DR
AUSTIN, TX 78748-5338
Phone number: 512-905-0329
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