Individual
MS. SHELLY LYNN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1333 WRENS NEST WAY, NORTHPORT, AL 35476-4177
(406) 431-7288
Mailing address
PO BOX 299, NORTHPORT, AL 35476-0299
(406) 431-7288
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
3829C
AL
1041C0700X
Clinical Social Worker
Primary
844
MT
Other
Enumeration date
08/04/2008
Last updated
07/21/2016
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