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Individual
DANIELLE EDMOND
Active
Individual
DANIELLE EDMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
000284
DC
235Z00000X
Speech-Language Pathologist
06308
MD
235Z00000X
Speech-Language Pathologist
22004264A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200812330A
—
IN
Enumeration date
04/05/2007
Last updated
10/03/2013
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