Individual
MRS. EDITH EDWARDS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1209 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 675-5000
(804) 675-6291
Mailing address
1411 BULL RUN DR, RICHMOND, VA 23231-5105
(804) 222-6512
(804) 675-6291
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904003193
VA
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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