Individual
CAROLINE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 SUNSET RIDGE DR STE 303, ROCKWALL, TX 75032-0047
(469) 458-9021
Mailing address
911 N GOLIAD ST, ROCKWALL, TX 75087-2230
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-241974
TX
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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