Individual
CHRISTIAN EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17320 W 12 MILE RD, SOUTHFIELD, MI 48076-2100
(248) 727-3456
Mailing address
225 VANDALIA AVE APT 18B, BROOKLYN, NY 11239-1416
(347) 256-5051
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851114263
MI
Other
Enumeration date
02/19/2021
Last updated
03/14/2022
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