Individual
LILEANN JOSEPHINE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1318 PLANTATION RD NE, ROANOKE, VA 24012-5713
(804) 346-6874
Mailing address
1640 E PARHAM RD, RICHMOND, VA 23228-2368
(804) 272-2000
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
VA
Other
Enumeration date
11/11/2022
Last updated
05/24/2023
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