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Individual
REGINA CAROL EDWARDS
Active
Individual
REGINA CAROL EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5266
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130P8
BCBS PROVIDER NUMBER
NC
05
—
7411753
—
NC
Enumeration date
05/19/2006
Last updated
03/19/2008
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