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Individual

CHARLSA EDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
102 PROFIT DR, VICTORIA, TX 77901-7346
(361) 576-3131
Mailing address
913 TAOS DR, VICTORIA, TX 77904-3766
(361) 935-8779

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
117052
TX

Other

Enumeration date
09/07/2022
Last updated
09/07/2022
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