1043354079

Everything you always wanted to know about MRS. WILKERSON RAE GENA CCC-SLP but were afraid to ask.

MRS. WILKERSON RAE GENA CCC-SLP

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Provider Prefix Provider Last Name Provider Middle Name Provider First Name Provider Credential
MRS. WILKERSON RAE GENA CCC-SLP
Gender:
Female
Enumeration date:
2007-02-15
Last update date:
2007-07-08
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
2355S0801X Speech-Language Assistant AR SP#1226

Phone Numbers

Type Number
Mailing Address Telephone Number 8708140608
Practice Location Address Telephone Number 8708140608

Addresses

Type Address City State Postal Country
Mailing Address 459 BRADLEY ROAD 39 HERMITAGE AR 71647 AR
Practice Location Address 459 BRADLEY ROAD 39 HERMITAGE AR 71647 AR