Individual
MR. EDWIN A. HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
380 SUWANNEE TRAIL STREET, BOWLING GREEN, KY 42103
(270) 901-5000
(270) 842-6553
Mailing address
522 ASHMOOR AVE, BOWLING GREEN, KY 42101-3703
(270) 901-5000
(270) 842-6553
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1114
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30604011
—
KY
05
—
8200110800
—
KY
Enumeration date
07/28/2005
Last updated
04/04/2008
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