Individual
MR. EDWIN R AILES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
525 E 15TH ST, PANAMA CITY, FL 32405-5412
(850) 522-4485
(850) 914-6281
Mailing address
525 E 15TH ST, PANAMA CITY, FL 32405-5412
(850) 522-4485
(850) 914-6281
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT 140
FL
Other
Enumeration date
10/19/2005
Last updated
07/08/2007
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