Individual
MRS. JEAN ANNA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.T. CCC-SLP
Contact information
Practice address
701 E 11TH ST, NEW RICHMOND, WI 54017-2399
(715) 243-1615
Mailing address
701 E 11TH ST, NEW RICHMOND, WI 54017-2399
(715) 243-1615
Taxonomy
Speciality
Code
Description
License number
State
235500000X
Speech/Language/Hearing Specialist/Technologist
Primary
1998-154
WI
235Z00000X
Speech-Language Pathologist
1998-154
WI
Other
Enumeration date
09/04/2013
Last updated
12/12/2017
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