Individual
MR. DALE B EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSW
Contact information
Practice address
10 S CLAY ST, MILLERSBURG, OH 44654-1329
(330) 275-0573
Mailing address
453 N FIRESTONE RD, WOOSTER, OH 44691-9372
(330) 641-2081
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S.1800787-TRNE
OH
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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