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Individual

JAIME MARIE EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SUDPT

Contact information

Practice address
806 S VINE ST, PORT ANGELES, WA 98362-7982
(360) 452-2443
(360) 452-2738
Mailing address
916 E 4TH ST, PORT ANGELES, WA 98362-4109
(360) 982-1682

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C061247586
WA

Other

Enumeration date
02/03/2022
Last updated
02/03/2022
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