Individual
ARIEL EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1041 VINE AVE, COOS BAY, OR 97420-2573
(541) 294-3220
Mailing address
PO BOX 1684, COOS BAY, OR 97420-0348
(541) 294-3220
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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