Individual
THEO EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
211 N HIGHWAY 59, KANSAS, OK 74347-7076
(918) 786-4434
Mailing address
207 N. HWY 59, KANSAS OK, KANSAS, OK 74347-0000
(918) 786-4434
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20136
OK
Other
Enumeration date
11/05/2019
Last updated
11/28/2025
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