Individual
JAVONTE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 BOSTON STREET, SALEM, MA 01970, 2, LYNN, MA 01902-0190
(781) 990-9675
Mailing address
64 CHATHAM ST APT 2, LYNN, MA 01902-2448
(781) 990-9675
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
MA
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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