Individual
HEATHER EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1034 S LINCOLN AVE, AURORA, MO 65605-1824
(417) 678-7436
Mailing address
12473 LAWRENCE 1245, MARIONVILLE, MO 65705-8155
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2020022065
MO
Other
Enumeration date
08/20/2020
Last updated
08/22/2023
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