Individual
MS. CHARLOTTE RENEE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 W MOCKINGBIRD LN STE 480, DALLAS, TX 75247-5062
(318) 393-9724
Mailing address
7000 BOBTAIL DR, SHREVEPORT, LA 71129-3418
(318) 393-9724
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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