Individual
MR. DARRELL DELMAR EDWARDS I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SAC-IT
Contact information
Practice address
3707 N RICHARDS ST, MILWAUKEE, WI 53212-1673
(414) 967-7006
Mailing address
3789 N 75TH ST, MILWAUKEE, WI 53216-1969
(262) 422-9225
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20640-130
WI
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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