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Individual
MS. KATHLEEN LANE EDWARDS
Active
Individual
MS. KATHLEEN LANE 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
001899
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000565133B
—
GA
Enumeration date
08/08/2006
Last updated
12/08/2023
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