Individual
MISS ASHLEY VENISE EDGERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2159 MACKENNA DR, GRAHAM, NC 27253-5428
(919) 690-9666
Mailing address
2159 MACKENNA DR, GRAHAM, NC 27253-5428
(919) 690-9666
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14124
NC
235Z00000X
Speech-Language Pathologist
SA19372
FL
Other
Enumeration date
12/04/2018
Last updated
01/07/2025
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