Individual
GABRIELLE M EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 MAPLE AVE, HALETHORPE, MD 21227-4098
(410) 887-1406
Mailing address
4300 MAPLE AVE, HALETHORPE, MD 21227-4098
(410) 887-1406
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01711L
MD
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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