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1265152805
AUTUM MARIE EDGERTON
DESTIN, FL
NPI
1265152805
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SZ10922)
Enumeration Date
2022-09-01
Last Update Date
2022-09-01
Business Address
AUTUM MARIE EDGERTON SLP
151 REGIONS WAY STE A
DESTIN, FL 32541-5106
Phone number: 850-424-5469
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Mailing Address
AUTUM MARIE EDGERTON SLP
1214 SHIPLEY DR
NICEVILLE, FL 32578-3953
Phone number: 910-273-0988
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