Individual
LAURIE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 CASTLE LN, OAKLAND, CA 94611-2743
(510) 482-3360
Mailing address
21 CASTLE LN, OAKLAND, CA 94611-2743
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
LCSW5402
CA
Other
Enumeration date
01/27/2014
Last updated
01/27/2014
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