Individual
CARRIE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
575 N KELLOGG ST STE 4, GALESBURG, IL 61401-7609
(309) 343-0800
Mailing address
575 N KELLOGG ST STE 4, GALESBURG, IL 61401-7609
(309) 343-0800
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1853471
IL
Other
Enumeration date
05/04/2022
Last updated
05/04/2022
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