Individual
SARA JANE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 PHEASANT LN, HUDSON, IL 61748-9070
(309) 275-2036
Mailing address
108 PHEASANT LN, HUDSON, IL 61748-9070
(309) 275-2036
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/15/2011
Last updated
05/15/2011
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