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Individual

MRS. CINDI EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
825 E 8TH ST, SUITE 204, WINNER, SD 57580-2633
(605) 842-7188
(605) 842-7189
Mailing address
PO BOX 435, WINNER, SD 57580-0435
(605) 842-7188
(605) 842-7189

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0600
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15919
AVERA HEALTH PLAN
SD
01
4994329
WELLMARK
SD
01
55655
SANDFORD HEALTH PLAN
SD
01
5836160
MEDICAID
SD
01
5836162
MEDICAID
SD
01
9255242
DAKOTA CARE
SD
Enumeration date
12/28/2005
Last updated
10/20/2009
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