Individual
JENNIFER LYNN EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
9009 RANCH ROAD 620 N, #1106, AUSTIN, TX 78726-4200
(512) 215-0463
Mailing address
9009 RANCH ROAD 620 N, #1106, AUSTIN, TX 78726-4200
(512) 215-0463
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/08/2007
Last updated
07/08/2007
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