Individual
MRS. DOTTIE JOYNER EDMONDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED/ CAGS
Contact information
Practice address
2830 BAYNE AVE, NORFOLK, VA 23504-3702
(757) 289-1637
Mailing address
2830 BAYNE AVE, NORFOLK, VA 23504-3702
(757) 289-1637
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PGP-0610306
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
912601
DOTTIE'S DEVELOPMENTAL CHILDCARE,LLC
VA
01
—
S435931
DOTTIE'S DEVELOPMENTAL CHILDCARE,LLC
VA
Enumeration date
01/22/2013
Last updated
01/22/2013
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