Individual
TRACI EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3531 LAKELAND DR STE 1060, FLOWOOD, MS 39232-8016
(601) 420-5810
Mailing address
2909 SHORT CHERRY ST, VICKSBURG, MS 39180-4711
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2314
MS
Other
Enumeration date
03/22/2019
Last updated
03/22/2019
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