Individual
MS. CAROL DIANE EDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
4400 SWEETGUM WAY, FT WORTH, TX 76133
(817) 294-2227
Mailing address
4400 SWEETGUM WAY, FT WORTH, TX 76133
(817) 294-2227
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15670
TX
Other
Enumeration date
06/25/2007
Last updated
07/08/2007
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