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1922360197
LAURA ANN WILSON
JACKSONVILLE, FL
NPI
1922360197
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: FL SA11580)
Enumeration Date
2012-06-13
Last Update Date
2020-05-13
Business Address
LAURA ANN WILSON M.A., CCC-SLP
841 PRUDENTIAL DR SUITE 140
JACKSONVILLE, FL 32207-8329
Phone number: 904-346-0394
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Mailing Address
LAURA ANN WILSON M.A., CCC-SLP
12925 DEEP LAGOON PL E
JACKSONVILLE, FL 32246-1048
Phone number: 850-982-6348
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