Individual
JENNIFER ROSEN EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. SLP
Contact information
Practice address
1706 RIDGECREST DR SE, ALBUQUERQUE, NM 87108-4439
(602) 361-4157
Mailing address
1706 RIDGECREST DR SE, ALBUQUERQUE, NM 87108-4439
(602) 361-4157
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
C-4754
NM
Other
Enumeration date
07/21/2010
Last updated
07/21/2010
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