Individual
DEEIDRA S EDMUNDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
302 STATE ST, PROCTORVILLE, OH 45669-5004
(740) 479-5135
Mailing address
401 CENTER ST FRNT B, IRONTON, OH 45638-1519
(740) 479-5135
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
DP00945394
WV
Other
Enumeration date
01/30/2019
Last updated
11/04/2022
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