Individual
MRS. CHARLOTTE D EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
31480 N US HIGHWAY 45, LIBERTYVILLE, IL 60048-9444
(847) 680-2715
(847) 680-3832
Mailing address
31480 HIGHWAY 45, LIBERTYVILLE, IL 60048
(847) 680-2715
(847) 680-3832
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071004889
IL
Other
Enumeration date
06/27/2006
Last updated
07/31/2014
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