Individual
SHAWNA MISHA EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TCM
Contact information
Practice address
125 S MAIN CROSS ST, LOUISA, KY 41230-1065
(606) 638-0938
(859) 813-5394
Mailing address
125 S MAIN CROSS ST, LOUISA, KY 41230-1065
(606) 638-0938
(859) 813-5394
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
KY
172V00000X
Community Health Worker
—
—
Other
Enumeration date
10/19/2020
Last updated
08/28/2024
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