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Individual

DR. JODIE KAE EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD, LPCC-S

Contact information

Practice address
7570 BALES ST STE 380, LIBERTY TOWNSHIP, OH 45069-7516
(513) 914-4688
Mailing address
7570 BALES ST STE 380, LIBERTY TOWNSHIP, OH 45069-7516
(513) 914-4688

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
E0700405
OH
103T00000X
Psychologist
Primary
6752
OH
103TC0700X
Clinical Psychologist
6752
OH

Other

Enumeration date
01/08/2018
Last updated
01/08/2018
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