Individual
KANDIS MAY EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1726 BUCKLEY LN, PROVO, UT 84606-5031
(801) 373-6562
(801) 375-9225
Mailing address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-4760
(801) 373-0639
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
06/28/2016
Last updated
01/07/2019
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