Individual
JANIS T. EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703
(479) 443-4301
Mailing address
PO BOX 2429, SMYRNA, TN 37167-1719
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1882-C
AR
Other
Enumeration date
06/05/2006
Last updated
09/17/2019
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