Individual
MRS. LAURIE K EDMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT CCC SLP
Contact information
Practice address
32772 DEER WATCH CT, NEW CARLISLE, IN 46552-9690
(574) 654-8540
(574) 654-9183
Mailing address
50 ANDREA CT, VALPARAISO, IN 46385-7757
(219) 476-4144
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22002740
IN
Other
Enumeration date
05/05/2007
Last updated
07/09/2007
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