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1083086714
DIANE EDWARDS
SHREVEPORT, LA
NPI
1083086714
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: LA 1254)
Enumeration Date
2015-10-21
Last Update Date
2015-10-21
Business Address
-- DIANE EDWARDS
403 E FLOURNOY LUCAS RD
SHREVEPORT, LA 71115-3906
Phone number: 318-213-3500
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Mailing Address
-- DIANE EDWARDS
PO BOX 579
SUMMIT, MS 39666-0579
Phone number: 601-276-3900
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