Individual
DIANCA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
1915 FAIRGROVE CHURCH RD, NEWTON, NC 28658-8531
(828) 468-3980
Mailing address
1915 FAIRGROVE CHURCH RD. SE, NEWTON, NC 28658
(828) 468-3980
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9238
NC
Other
Enumeration date
03/06/2013
Last updated
04/10/2014
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