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Individual

EDWARD MONROE CLEAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
1703 E JEFFERSON ST, KOKOMO, IN 46901-4977
(765) 438-0583
Mailing address
1703 E JEFFERSON ST, KOKOMO, IN 46901-4977
(765) 438-0583

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1041C0700X
Clinical Social Worker
Primary
34006023A
IN

Other

Enumeration date
01/24/2008
Last updated
07/23/2014
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