Individual
LYNETTE MARIE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
653 HICKORY HOLLOW RD, WATERFORD, WI 53185-2888
(262) 994-2684
Mailing address
653 HICKORY HOLLOW RD, WATERFORD, WI 53185-2888
(262) 994-2684
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146007204
IL
Other
Enumeration date
12/26/2008
Last updated
12/26/2008
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