Individual
MISS ANDREA EDGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8623 N WAYNE RD STE 200, WESTLAND, MI 48185-1137
(460) 173-4458
Mailing address
32652 BLUEBIRD LN, WAYNE, MI 48184-2508
(734) 564-2207
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CART-20-100-173
MI
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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