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1376149880
MADISON GRIMES WILSON
LIVINGSTON, LA
NPI
1376149880
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: LA 8714)
Enumeration Date
2020-12-09
Last Update Date
2024-05-06
Business Address
MRS. MADISON GRIMES WILSON M.S., L-SLP, CCC-SLP
13909 FLORIDA BLVD
LIVINGSTON, LA 70754-6340
Phone number: 225-567-9367
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Mailing Address
MRS. MADISON GRIMES WILSON M.S., L-SLP, CCC-SLP
13909 FLORIDA BLVD
LIVINGSTON, LA 70754-6340
Phone number:
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