Wilks, Audra Marie
Wilks, Audra Marie is an sole proprietor health care provider with primary practice located at 1145 Poquonnock Rd , Groton CT 06340-4620. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Wilks, Audra Marie can be contacted via phone (860) 446-9960.Contact Information
Primary practice address
1145 Poquonnock Rd
Groton CT 06340-4620
Phone: (860) 446-9960
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 002579 | Connecticut |
Profile Details
| NPI number | 1275651481 |
|---|---|
| LBN Legal business name | Wilks, Audra Marie |
| Credentials | M.S., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 26th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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