Individual
THERESA DIANE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
445 4TH ST, SECOND FLOOR, BRADDOCK, PA 15104-1463
(412) 583-9681
Mailing address
445 4TH ST, SECOND FLOOR, BRADDOCK, PA 15104-1463
(412) 583-9681
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW127377
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024653590003
—
PA
Enumeration date
02/24/2010
Last updated
09/13/2012
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