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Individual

CASEY NOEL EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
22362 GILBERTO STE 100, RANCHO SANTA MARGARITA, CA 92688-2187
(949) 459-1658
Mailing address
13206 MYFORD RD APT 533, TUSTIN, CA 92782-9122
(310) 753-0227

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA
SOCAL THERAPY NETWORK, LLC
CA
Enumeration date
03/09/2022
Last updated
08/08/2025
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