Individual
AUDRAY A EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW R ACSW BCD
Contact information
Practice address
16 CHURCH STREET, SECOND FLOOR, CORTLAND, NY 13045-2710
(607) 756-0870
Mailing address
1202 25 IVY RIDGE ROAD, 25, SYRACUSE, NY 13210-4132
(315) 478-2098
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R031622
NY
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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