Individual
JAMIE MITCHELL EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
119 S SHERRIN AVE STE 210, LOUISVILLE, KY 40207-3237
(502) 550-5266
Mailing address
302 MAIN ST, AUGUSTA, KY 41002-1039
(502) 550-5266
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
256899
KY
Other
Enumeration date
08/11/2022
Last updated
09/01/2022
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