Individual
MRS. MARY LOUISE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED. LPCA
Contact information
Practice address
6133 SUTTER LOOP EAST, OWENSBORO, KY 42303
(270) 281-9076
Mailing address
6133 SUTTER LOOP E, OWENSBORO, KY 42303-9747
(270) 281-9076
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPCCA00216556
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LPCCCA00216556
—
KY
Enumeration date
01/27/2015
Last updated
01/27/2015
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