Individual
EILEEN EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 WOOD DR, STAFFORD, VA 22556-1838
(540) 658-6360
(540) 658-6360
Mailing address
50 WOOD DR, STAFFORD, VA 22556-1838
(540) 658-6360
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202006465
VA
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
02/23/2018
Last updated
02/23/2018
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