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1801890439
ERICA R WILSON
CONYERS, GA
NPI
1801890439
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA SLP006266)
Enumeration Date
2005-06-10
Last Update Date
2013-12-11
Business Address
-- ERICA R WILSON MEDCCCSLP
2395 WALL ST SE SUITE 190
CONYERS, GA 30013-6703
Phone number: 404-202-8490
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Mailing Address
-- ERICA R WILSON MEDCCCSLP
3141 BRIGHTON PASS
CONYERS, GA 30094-3357
Phone number: 404-202-8490
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