Individual
JESSICA EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
984 CAMBRIA DR, NORTH SALT LAKE, UT 84054-5027
(801) 494-4262
Mailing address
984 CAMBRIA DR, NORTH SALT LAKE, UT 84054-5027
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7686562-4102
UT
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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