Individual
MRS. ALYSSA EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ECDS
Contact information
Practice address
1310 BRADLEY DR, MOUNTAIN HOME, AR 72653-2730
(870) 424-4021
(870) 424-4112
Mailing address
1310 BRADLEY DR, MOUNTAIN HOME, AR 72653-2730
(870) 424-4021
(870) 424-4112
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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