Individual
MS. ELIZABETH ANN EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
509 WILDMEADOW DR, EDMOND, OK 73003-3031
(405) 216-9313
Mailing address
509 WILDMEADOW DR, EDMOND, OK 73003-3031
(405) 216-9313
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2211
OK
Other
Enumeration date
12/23/2011
Last updated
12/23/2011
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