Individual
MR. EDWARD E TEDROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2238 FIRST ST., SLIDELL, LA 70458
(985) 690-6622
Mailing address
350 BYRAM DR, APT 812, BYRAM, MS 39272-9286
(604) 372-5145
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3887
LA
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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