Individual
MRS. AMANDA TAYLOR EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
115 ATWOOD ST, SPARTA, NC 28675-9299
(336) 467-0489
(888) 507-3159
Mailing address
PO BOX 192, SPARTA, NC 28675-0192
(828) 406-0918
(888) 507-3159
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
C008165
NC
1041C0700X
Clinical Social Worker
Primary
C008165
NC
Other
Enumeration date
12/20/2011
Last updated
02/19/2018
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