Individual
LUANN M EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3810-3 WILLIAMSBURG PARK BLVD, JACKSONVILLE, FL 32257-9220
(904) 419-6102
(904) 739-2153
Mailing address
3810-3 WILLIAMSBURG PARK BLVD, JACKSONVILLE, FL 32257-9220
(904) 419-6102
(904) 739-2153
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT1070
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4421785
AETNA
FL
01
—
Z3413
BC/BS
FL
Enumeration date
07/25/2006
Last updated
07/08/2007
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