Individual
BRENDA GIRVEN EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3049 CLEVELAND AVE, FORT MYERS, FL 33901-7041
(239) 352-1712
Mailing address
3049 CLEVELAND AVE, FORT MYERS, FL 33901-7041
(239) 352-1712
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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