Individual
MS. REGINA LOUISE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW, MS, CRC, CCM
Contact information
Practice address
738 S MAIN ST, MOUNT AIRY, NC 27030-4724
(336) 429-9211
Mailing address
738 S MAIN ST, MOUNT AIRY, NC 27030-4724
(336) 429-9211
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/17/2010
Last updated
01/17/2010
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