Individual
CLARISSA EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3525 WOODRIDGE BLVD APT 9, FAIRFIELD, OH 45014-7519
(513) 479-7863
Mailing address
3525 WOODRIDGE BLVD APT 9, FAIRFIELD, OH 45014-7519
(513) 479-7863
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S.2005494
OH
Other
Enumeration date
05/10/2024
Last updated
05/10/2024
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