Individual
MRS. KIM EDMONDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1164 NORTON RD, RAEFORD, NC 28376-9794
(910) 476-2276
Mailing address
1164 NORTON RD, RAEFORD, NC 28376-9794
(910) 476-2276
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
06/09/2007
Last updated
07/08/2007
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