Individual
MR. EDWARD LAWRENCE JAMES III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MDW, LMSW
Contact information
Practice address
2102 W BETHANY HOME RD, PHOENIX, AZ 85015-1935
(602) 774-4745
Mailing address
8220 E KEIM DR, SCOTTSDALE, AZ 85250-5845
(602) 684-8198
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12915
AZ
Other
Enumeration date
09/26/2021
Last updated
09/26/2021
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