Individual
MRS. BRANDI LASHAYE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1200 JAMES STREET, JACKSONVILLE, AR 72076-3143
(501) 982-5000
(501) 982-5007
Mailing address
1815 PLEASANT GROVE RD, JONESBORO, AR 72401-7870
(870) 933-6886
(870) 933-9395
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3838-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182045795
—
AR
01
—
5WW24
BCBS
AR
Enumeration date
10/13/2008
Last updated
02/16/2016
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