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Individual

MS. AYESHA J EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, BCD

Contact information

Practice address
2730 MCKEAN ST BLDG 291, SAN DIEGO, CA 92136-5000
(619) 556-8449
Mailing address
NAVAL MEDICAL CENTER SAN DIEGO, 34800 BOB WILSON DR, DMS SOCIAL WORK DEPARTMENT, SAN DIEGO, CA 92134-5000
(619) 453-4399

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
75552
CA
1041C0700X
Clinical Social Worker
BCD-59139
1041C0700X
Clinical Social Worker
LCSW-3886
HI

Other

Enumeration date
07/26/2010
Last updated
05/16/2023
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