Individual
MARTY ROWLAND EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
87003 PROFESSIONAL WAY, YULEE, FL 32097-3400
(904) 849-1190
Mailing address
87003 PROFESSIONAL WAY, YULEE, FL 32097-3400
(904) 849-1190
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT3313
FL
Other
Enumeration date
05/02/2017
Last updated
07/27/2017
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