Individual
CARMELITA EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
123 N MAIN STREET, RICH SQUARE, NC 27869
(252) 287-3076
Mailing address
123 N MAIN STREET, PO BOX 981, RICH SQUARE, NC 27869
(252) 287-3076
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A11462
NC
Other
Enumeration date
03/30/2015
Last updated
03/30/2015
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