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Individual
MR. EDWARD P REDMOND JR.
Active
Individual
MR. EDWARD P REDMOND JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R0184841
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067005
VALUE OPTIONS
—
01
—
7401620
VALUE OPTIONS
—
Enumeration date
11/07/2006
Last updated
07/08/2007
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