Individual
CHRISTINA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2141 SPENCER CT, LA GRANGE, KY 40031-6742
(502) 589-8600
(502) 589-8771
Mailing address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1423
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
16325
KY
Other
Enumeration date
08/01/2007
Last updated
06/03/2016
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