Individual
DR. JENNIE MARIE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1703 N MEMORIAL DR, LANCASTER, OH 43130-1634
(740) 653-6145
Mailing address
17273 OH-104, CHILLICOTHE, OH 45601
(740) 653-6145
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
071.010598
IL
103TC0700X
Clinical Psychologist
38817
TX
103TC0700X
Clinical Psychologist
Primary
P.08519
OH
Other
Enumeration date
06/23/2021
Last updated
10/05/2023
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