Individual
MS. DEE JACOBI-EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LPTA, LCSW
Contact information
Practice address
3300 W MONTAGUE AVE STE 203, N CHARLESTON, SC 29418-5907
(843) 740-6999
(843) 740-5433
Mailing address
313 JAMESBURY RD, CHARLESTON, SC 29492-7814
(972) 998-1980
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904011004
VA
1041C0700X
Clinical Social Worker
Primary
12955
SC
1041C0700X
Clinical Social Worker
58863
TX
1041C0700X
Clinical Social Worker
C012079
NC
225200000X
Physical Therapy Assistant
004753-1
NY
225200000X
Physical Therapy Assistant
2057623
TX
225200000X
Physical Therapy Assistant
2794
MA
225C00000X
Rehabilitation Counselor
00088976
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13955
SOUTH CAROLINA BOARD OF SOCIAL WORK EXAMINERS
SC
Enumeration date
03/08/2007
Last updated
04/01/2020
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