Individual
ELIZABETH FAYE EDENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5501 CONDUIT RD, COLONIAL HEIGHTS, VA 23834-2121
(804) 524-3440
Mailing address
14937 PLEASANT GROVE DR, DISPUTANTA, VA 23842-4022
(804) 731-3912
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202006265
VA
Other
Enumeration date
10/15/2021
Last updated
10/15/2021
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