Individual
MR. WILLIAM BRYAN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
104 1ST ST NW, DODGE CENTER, MN 55927-9195
(507) 374-9047
(507) 374-2977
Mailing address
PO BOX 335, 104 1ST ST. NW, DODGE CENTER, MN 55927-0335
(507) 374-9047
(507) 374-2977
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
300682
MN
Other
Enumeration date
11/17/2006
Last updated
07/09/2007
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