Individual
EDWARD WAYNE MINOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
313 E 53RD ST, SAVANNAH, GA 31405-3410
(912) 232-0951
Mailing address
313 E 53RD ST, SAVANNAH, GA 31405-3410
(912) 232-0951
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW002569
GA
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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