Individual
ELIZABETH ANN EDENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12667 STATE HIGHWAY 986, OLIVE HILL, KY 41164-5616
(405) 570-5552
Mailing address
12667 STATE HIGHWAY 986, OLIVE HILL, KY 41164-5616
(405) 570-5552
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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