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Damaris Wilson, SLP-CCC

Speech-Language Pathologist, in Lebanon, TN. Individual provider (NPI-1).

NPI number1164057964
StatusActive
Last updated in NPPESMar 12, 2020

Details

NPI
1164057964
Entity type
Individual (NPI-1)
Name
Damaris Wilson
Credential
SLP-CCC
Sex
Female
Sole proprietor
No
Enumeration date
Mar 12, 2020
Certification date
Mar 12, 2020
Last updated
Mar 12, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,7027TNYes

Practice location

397 N Castle Heights Ave
Lebanon, TN 37087-1514

Phone 423-622-1551

Mailing address

Po Box 8114
Chattanooga, TN 37414-0114

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