Individual
KIMBERLI PAIGE EDMONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-ASSISTANT
Contact information
Practice address
8836 LARCH ST, LAKESIDE, TX 76135-4616
(817) 454-0857
Mailing address
4933 LEMON GROVE DR, FORT WORTH, TX 76135-1549
(817) 454-0857
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
39555
TX
Other
Enumeration date
06/20/2017
Last updated
07/21/2022
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