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Individual
ELISE MUELLER EDWARDS
Active
Individual
ELISE MUELLER EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
BACB442607
IL
225X00000X
Occupational Therapist
Primary
1316
SD
Other
Enumeration date
06/25/2018
Last updated
06/03/2025
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