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Individual
MELODY EDWARDS
Active
Individual
MELODY EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
001112
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004243747
—
CT
Enumeration date
05/05/2016
Last updated
05/05/2016
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