Individual
CAITLIN SCOTT EDGELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
705 S KERR AVE, WILMINGTON, NC 28403-8425
(910) 782-3499
Mailing address
1026 SAINT ANDREWS DR APT 101, WILMINGTON, NC 28412-7485
(910) 508-9909
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/08/2017
Last updated
06/08/2017
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