Individual
KATELYN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 GEORGANN RD, MANORVILLE, NY 11949-3224
(631) 707-3432
Mailing address
15 GEORGANN RD, MANORVILLE, NY 11949-3224
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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