Individual
KRISHULA EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6028 TAMARACK DR, MONTGOMERY, AL 36117-1300
(334) 245-4243
Mailing address
6028 TAMARACK DR, MONTGOMERY, AL 36117-1300
(334) 300-2028
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/09/2020
Last updated
12/27/2022
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