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Individual

ALISHA EDGAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSW

Contact information

Practice address
400 JOHNSON ST, ALPENA, MI 49707-1434
(989) 742-7600
(989) 742-4142
Mailing address
400 JOHNSON ST, ALPENA, MI 49707-1434
(989) 742-7600
(989) 742-4142

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802087582
MI

Other

Enumeration date
02/04/2014
Last updated
02/04/2014
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