Individual
ANTHONY EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1701 WILMA DR NW, ATLANTA, GA 30318-4067
(678) 368-9636
Mailing address
1701 WILMA DR NW, ATLANTA, GA 30318-4067
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/31/2016
Last updated
01/31/2016
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