Individual
JILLIAN NICOLE EDGERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
67 S HIGLEY RD STE 103-477, GILBERT, AZ 85296-1166
(480) 998-1477
Mailing address
720 W 26TH ST APT 4044, HOUSTON, TX 77008-2947
(409) 344-3477
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
118427
TX
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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